Individual provider Active NPI

Christina Nickie Saysamphan, L.M.T

  • Massage Therapist
  • Elgin, IL
National Provider Identifier
1609283464
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227014189 Issued in IL
Practice address
1425 N McLean Blvd Ste 700
Elgin, IL 60123-5724
Phone
(847) 695-0464
NPI assigned
Jul 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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 227014189 IL Primary

Addresses

Primary practice location

1425 N McLean Blvd Ste 700
Elgin, IL 60123-5724

Mailing address

7 Marcia CT
South Elgin, IL 60177-3059
Phone (847) 274-3214

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
227014189ILMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sikorsky Chiropractic Clinic SC PastSince Jan 1, 2006 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1609283464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MARCIA CT",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601773059",
            "telephone_number": "847-274-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N MCLEAN BLVD STE 700",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235724",
            "telephone_number": "847-695-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYSAMPHAN",
        "first_name": "CHRISTINA",
        "middle_name": "NICKIE",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227014189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.