Individual provider Active NPI

Christopher R Helou-Decos, MS, BS, AT, MT, MMP

  • Massage Therapist
  • Panama City, FL
National Provider Identifier
1417738188
Registry record updated Mar 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
105780 Issued in FL
Practice address
3625 Frankford Ave Apt 4108
Panama City, FL 32405-1945
Phone
(281) 771-2149
Fax
(240) 770-0602
NPI assigned
Oct 10, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 7312 FL
Massage Therapist 225700000X MT137388 TX
Athletic Trainer 2255A2300X AT9859 TX
Massage Therapist 225700000X 105780 FL Primary

Addresses

Primary practice location

3625 Frankford Ave Apt 4108
Panama City, FL 32405-1945

Mailing address

3625 Frankford Ave Apt 4108
Panama City, FL 32405-1945
Phone (281) 771-2149

Other practice location 1

12315 Drummond Maple Dr
Humble, TX 77346-4706
Phone (281) 771-2149

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
Bachelor of Science, Master of Science, Medical Technician

State licenses

LicenseStateTypeSpecialty
AT9859TXMDAthletic Trainer
105780FLMDMassage Therapist
MT137388TXMDMassage Therapist
7312FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742601600000",
    "number": "1417738188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 FRANKFORD AVE APT 4108",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324051945",
            "telephone_number": "281-771-2149",
            "fax_number": "240-770-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 FRANKFORD AVE APT 4108",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324051945",
            "telephone_number": "281-771-2149",
            "fax_number": "240-770-0602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12315 Drummond Maple Dr",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773464706",
            "country_code": "US",
            "telephone_number": "281-771-2149",
            "fax_number": "240-770-0602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELOU-DECOS",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "credential": "MS, BS, AT, MT, MMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-10",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "7312",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT137388",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT9859",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "105780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2025; 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.