Individual provider Active NPI

Christine Michelle, MA43646

  • Massage Therapist
  • Miami, FL
National Provider Identifier
1609534080
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA43646 Issued in FL
Practice address
450 SW 92ND Ave
Miami, FL 33174-2310
Phone
(786) 469-9532
NPI assigned
Dec 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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 MA43646 FL Primary

Addresses

Primary practice location

450 SW 92ND Ave
Miami, FL 33174-2310

Mailing address

450 SW 92ND Ave
Miami, FL 33174-2310
Phone (786) 469-9532

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Miami Direct

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
MA43646FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1609534080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SW 92ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742310",
            "telephone_number": "786-469-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SW 92ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742310",
            "telephone_number": "786-469-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELLE",
        "first_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "MA43646",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA43646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "endpointDescription": "Miami",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "450 SW 92nd Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331742310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.