Individual provider Active NPI

Chelsa Diane Kromhout, LMT

  • Massage Therapist
  • Vero Beach, FL
National Provider Identifier
1396040457
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 56172 Issued in FL
Practice address
1125 12TH St
Suite E
Vero Beach, FL 32960-3791
Phone
(772) 473-4607
NPI assigned
Jan 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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 MA 56172 FL Primary

Addresses

Primary practice location

1125 12TH St
Suite E
Vero Beach, FL 32960-3791

Mailing address

3466 3Rd St
Vero Beach, FL 32968-2021
Phone (772) 473-4607

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
MA 56172FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1396040457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 3RD ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329682021",
            "telephone_number": "772-473-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 12TH ST",
            "address_2": "SUITE E",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603791",
            "telephone_number": "772-473-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROMHOUT",
        "first_name": "CHELSA",
        "middle_name": "DIANE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 56172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.