Individual provider Active NPI

Christina Alexis Stallknecht, LMT

  • Massage Therapist
  • Chicago, IL
National Provider Identifier
1568076529
Registry record updated Sep 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227016836 Issued in IL
Practice address
4715 N Sheridan Rd Apt 11N
Chicago, IL 60640-6557
Phone
(706) 247-0831
NPI assigned
Sep 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2020

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 227016836 IL Primary

Addresses

Primary practice location

4715 N Sheridan Rd Apt 11N
Chicago, IL 60640-6557

Mailing address

4715 N Sheridan Rd Apt 11N
Chicago, IL 60640-6557
Phone (706) 247-0831

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
227016836ILMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1599350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599350400000",
    "number": "1568076529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 N SHERIDAN RD APT 11N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406557",
            "telephone_number": "706-247-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 N SHERIDAN RD APT 11N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406557",
            "telephone_number": "706-247-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLKNECHT",
        "first_name": "CHRISTINA",
        "middle_name": "ALEXIS",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-06",
        "last_updated": "2020-09-06",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227016836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.