Active NPI
Diane Marie Christodaro, CMT LMT
- Massage Therapist
- Denver, CO
National Provider Identifier
1457571788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 47861
- Practice address
- 1221 S Clarkson
Suite 312
Denver, CO 80210-1628 - Phone
- (303) 778-9304
- NPI assigned
- Apr 27, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 47861 | CO | Primary |
Addresses
Primary practice location
1221 S Clarkson
Suite 312
Denver, CO 80210-1628
Mailing address
PO Box 150701
Lakewood, CO 80215-0701
Phone (303) 778-9304
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
| License | State | Type | Specialty |
|---|---|---|---|
| 47861 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457571788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 150701",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802150701",
"telephone_number": "303-778-9304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 S CLARKSON",
"address_2": "SUITE 312",
"city": "DENVER",
"state": "CO",
"postal_code": "802101628",
"telephone_number": "303-778-9304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTODARO",
"first_name": "DIANE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "CMT LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "47861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.