Crista Blondell, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT3285 Issued in ME

Practice address

209 Western Ave Unit G
South Portland, ME 04106-2452

Phone

(207) 272-5638

NPI assigned

Jul 21, 2009

Sex

Female

Sole proprietor

Yes

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

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

• Back on Track

  • Chiropractor
  • South Portland, ME
  • NPI 1205063724
  NPD (past)
• Back on Track Chiropractic

  • Chiropractor
  • South Portland, ME
  • NPI 1922239003
  NPD (past)

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1528298882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 BEACH ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040722936",
            "telephone_number": "207-272-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 WESTERN AVE UNIT G",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062452",
            "telephone_number": "207-272-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONDELL",
        "first_name": "CRISTA",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT3285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Lynn Blankenship, LPN
• Anna Blash
• Francine F Blattner, MD
• Elizabeth A Blazick, MD
• Mary Bloch
• Emily Blossom, PA-C
• Joanne C Boeschenstein, LCSW
• Christina Marie Bohurjak, RN
• George E Bokinsky, M.D.
• Marie Boneparth, PT

• Massage Therapist in South Portland, ME
• Providers in South Portland, ME by specialty
• Massage Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.