Individual provider Active NPI

Christy Marie Cook

  • Massage Therapist
  • Pueblo, CO
National Provider Identifier
1376055848
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0018808 Issued in CO
Practice address
44 E Spaulding Ave
BLD 3 Ste 3
Pueblo, CO 81007-1668
Phone
(515) 897-8824
NPI assigned
Oct 24, 2017
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT.0018808 CO Primary

Addresses

Primary practice location

44 E Spaulding Ave
BLD 3 Ste 3
Pueblo, CO 81007-1668

Mailing address

44 E Spaulding Ave Building 3 Suite 3
Pueblo, CO 81007-1668
Phone (515) 897-8824

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

State licenses

LicenseStateTypeSpecialty
MT.0018808COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Massage, LLC Massage Therapist CurrentSince Feb 6, 2022 Accepting new patients
Orange Skye Spa Massage Therapist Past Accepting new patients
Belezza, LLC Massage Therapist Past Accepting new patients

Locations

44 E Spaulding Ave
Ste 3
Pueblo West, CO 81007
Phone (515) 897-8824

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1376055848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 E SPAULDING AVE BUILDING 3 SUITE 3",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810071668",
            "telephone_number": "515-897-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E SPAULDING AVE",
            "address_2": "BLD 3 STE 3",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810071668",
            "telephone_number": "515-897-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "CHRISTY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0018808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.