Individual provider Active NPI

Christopher Cole Blair, LMT

  • Massage Therapist
  • Santa Rosa Beach, FL
National Provider Identifier
1457681256
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 7972 Issued in FL
Practice address
57 Uptown Grayton Cir Ste a
Santa Rosa Beach, FL 32459-8814
Phone
(850) 231-0953
NPI assigned
Dec 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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 7972 FL Primary

Addresses

Primary practice location

57 Uptown Grayton Cir Ste a
Santa Rosa Beach, FL 32459-8814

Mailing address

192 Lake Pointe Dr
Santa Rosa Beach, FL 32459-6524
Phone (850) 376-3269

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 7972FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1457681256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 LAKE POINTE DR",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324596524",
            "telephone_number": "850-376-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 UPTOWN GRAYTON CIR STE A",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324598814",
            "telephone_number": "850-231-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "CHRISTOPHER",
        "middle_name": "COLE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 7972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.