Elliott Challandes, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227.019555 Issued in IL

Practice address

838 S 4TH St Ste B
Springfield, IL 62703-2274

Phone

(217) 416-7649

NPI assigned

Apr 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• A Healing Place Springfield, LLC

  • Massage Therapist
  • Springfield, IL
  • NPI 1609733393
  NPD Authorized official

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1518587211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 S 4TH ST STE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032274",
            "telephone_number": "217-416-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 S 4TH ST STE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032274",
            "telephone_number": "217-416-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALLANDES",
        "first_name": "ELLIOTT",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.019555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arwa Hussain Chaiwala
• Arindam Chakrabarty, M.D.
• Umesh Chander Rao Chakunta, M.D.
• David M Chaky, M.D.
• Victor Chalfant, MD
• Jeffery R Chambers, NP
• Chance to Change Supportive Services of Illinois Inc
• Shirley Chaney
• Trupesh Chanpura, MD
• Naveen Srinivas Chapa, MD

• Massage Therapist in Springfield, IL
• Providers in Springfield, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.