Individual provider Active NPI

William Franklin Christen, LMT

  • Massage Therapist
  • Port Orange, FL
National Provider Identifier
1467736892
Registry record updated Oct 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA64236 Issued in FL
Practice address
909 Timberwood Dr
Port Orange, FL 32127-4859
Phone
(386) 843-3204
NPI assigned
Oct 4, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60225795 WA
Massage Therapist 225700000X MA64236 FL Primary

Addresses

Primary practice location

909 Timberwood Dr
Port Orange, FL 32127-4859

Mailing address

1444 Bent Oaks Blvd
Deland, FL 32724-8062
Phone (386) 843-3204

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
MA64236FLMDMassage Therapist
MA60225795WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443916800000",
    "number": "1467736892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 BENT OAKS BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327248062",
            "telephone_number": "386-843-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 TIMBERWOOD DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274859",
            "telephone_number": "386-843-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTEN",
        "first_name": "WILLIAM",
        "middle_name": "FRANKLIN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-04",
        "last_updated": "2015-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60225795",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA64236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2015; 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.