Individual provider Active NPI

Chris Simon Elias, NMT,CPT,SNS

  • Massage Therapist
  • Roseville, CA
National Provider Identifier
1700516325
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
87156 Issued in CA
Practice address
1380 Lead Hill Blvd Ste 211
Roseville, CA 95661-2997
Phone
(916) 359-9869
NPI assigned
Jun 15, 2022
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X
Athletic Trainer 2255A2300X CA
Massage Therapist 225700000X 87156 CA Primary

Addresses

Primary practice location

1380 Lead Hill Blvd Ste 211
Roseville, CA 95661-2997

Mailing address

8458 N Star Way
Orangevale, CA 95662-3843
Phone (916) 605-9691

Other identifiers 1

IdentifierTypeStateIssuer
87156OtherCACAMTC

Other names 1

  • The Muscle Whisperer Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://drive.google.com/drive/folders/1R0wOZoTmnWl5UuwICke1mc52DqC11jOQ?usp=sharing 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
87156CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1700516325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8458 N STAR WAY",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956623843",
            "telephone_number": "916-605-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LEAD HILL BLVD STE 211",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612997",
            "telephone_number": "916-359-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "CHRIS",
        "middle_name": "SIMON",
        "name_prefix": "Mr.",
        "credential": "NMT,CPT,SNS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-15",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "87156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAMTC",
            "identifier": "87156",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://drive.google.com/drive/folders/1R0wOZoTmnWl5UuwICke1mc52DqC11jOQ?usp=sharing",
            "affiliation": "N",
            "endpointDescription": "Encrypted Cloud File Sytem Folder",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "8458 N Star Way",
            "city": "Orangevale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956623843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "THE",
            "last_name": "WHISPERER",
            "middle_name": "MUSCLE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

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