Crista M Delagarza, MA, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2089 Issued in CO

Practice address

825 S. Broadway
Mandala
Boulder, CO 80305

Phone

(303) 859-2441

NPI assigned

Mar 31, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Artsy Healer LLC

  • Massage Therapist
  • Boulder, CO
  • NPI 1396563193
  NPD Authorized official

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1639757693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 S. BROADWAY",
            "address_2": "MANDALA",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803051890",
            "telephone_number": "303-859-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S. BROADWAY",
            "address_2": "MANDALA",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80305",
            "telephone_number": "303-859-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAGARZA",
        "first_name": "CRISTA",
        "middle_name": "M",
        "credential": "MA, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "2089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Thomas Degennaro, MPT
• Degrandis Physical Therapy LLC
• Chris Degrandis, PT, DPT, CFMT
• Travis Dehne, DPT
• Brent James Deibert, MD
• Dawn Louise Delahousse, FNP-C
• Roberta Jill Deland, PT
• David George Delaney, L.P.C.
• Jennifer S Delaney, MA, NCC
• Megan Delano

• Massage Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.