Active NPI
Christopher R Helou-Decos, MS, BS, AT, MT, MMP
- Massage Therapist
- Panama City, FL
National Provider Identifier
1417738188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 105780
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AT9859 | TX | MD | Athletic Trainer |
| 105780 | FL | MD | Massage Therapist |
| MT137388 | TX | MD | Massage Therapist |
| 7312 | FL | MD | Speech-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.