Active NPI
Chandra Adams, M.M.T./H.L.P/M.E.
- Massage Therapist
- Wauwatosa, WI
National Provider Identifier
1326420225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3583-146
- Practice address
- 6330 W North Ave
Wauwatosa, WI 53213-2051 - Phone
- (415) 258-2476
- NPI assigned
- Jun 26, 2015
- Last updated
- Aug 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | 52167-82 | WI | |
| Massage Therapist | 225700000X | 3583-146 | WI | Primary |
| Rehabilitation Counselor | 225C00000X | 102923 | WA |
Addresses
Primary practice location
6330 W North Ave
Wauwatosa, WI 53213-2051
Mailing address
6330 W North Ave
Wauwatosa, WI 53213-2051
Phone (414) 258-2476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Engineering
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52167-82 | WI | MD | Prosthetist |
| 3583-146 | WI | MD | Massage Therapist |
| 102923 | WA | MD | Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1326420225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6330 W NORTH AVE",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532132051",
"telephone_number": "414-258-2476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6330 W NORTH AVE",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532132051",
"telephone_number": "415-258-2476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "CHANDRA",
"credential": "M.M.T./H.L.P/M.E.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-26",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "WI",
"license": "52167-82",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "3583-146",
"primary": true
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "WA",
"license": "102923",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wauwatosa, WI
- Active Medical Equipment LLC
- Acupuncture and Oriental Medicine Services, LLC
- Adam N. Moriwaki, Psy.D., LLC
- Carol Jean Adamczyk, MSN
- Alynah J. Adams, MD
- Eric Adar, MD
- Advanced Dental Specialists, LLC (Advanced Dental Specialists Mayfair)
- Advanced Healthcare, S.C.
- Advanced Healthcare, S.C.
- Advanced Healthcare, S.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.