Individual provider Active NPI

Chris Wayne Tomerlin, LMT

  • Massage Therapist
  • Fayetteville, AR
National Provider Identifier
1497639603
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
1617484 Issued in AR
Practice address
1271 N Steamboat Dr Ste 1
Fayetteville, AR 72704-6263
Phone
(479) 435-6834
NPI assigned
Aug 1, 2025
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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 1617484 AR Primary

Addresses

Primary practice location

1271 N Steamboat Dr Ste 1
Fayetteville, AR 72704-6263

Mailing address

6702 W Lake Inverness CT
Rogers, AR 72758-8975
Phone (870) 831-2751

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
1617484ARMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kmgo Enterprises PLLC CurrentSince Aug 3, 2025 Accepting new patients
Aell Spencer Chiropractic Inc CurrentSince Aug 3, 2025 Accepting new patients

Locations

1271 N Steamboat Dr
Ste 1
Fayetteville, AR 72704
Phone (479) 435-6834

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1497639603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6702 W LAKE INVERNESS CT",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588975",
            "telephone_number": "870-831-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 N STEAMBOAT DR STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046263",
            "telephone_number": "479-435-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMERLIN",
        "first_name": "CHRIS",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AR",
            "license": "1617484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.