Individual provider Active NPI

Christopher A Shelden, LMT, C ROLFER TM

  • Massage Therapist
  • Anchorage, AK
National Provider Identifier
1720505449
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
151375 Issued in AK
Practice address
411 W Northern Lights Blvd
Anchorage, AK 99503-2502
Phone
(907) 274-9345
Fax
(907) 274-9345
NPI assigned
Aug 23, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X
Specialist 174400000X
Massage Therapist 225700000X 151375 AK Primary

Addresses

Primary practice location

411 W Northern Lights Blvd
Anchorage, AK 99503-2502

Mailing address

2419 La Honda Dr
Anchorage, AK 99517-1343
Phone (907) 229-4439

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
151375AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leslie Morris DC, LLC PastSince Nov 1, 2019 Accepting new patients
Weston Hopkins DC LLC PastSince Nov 1, 2019 Accepting new patients
Thrive Integrative Medicine PastSince Sep 24, 2023 Accepting new patients
Thrive Integrative Medicine PastSince Oct 1, 2023 Accepting new patients

Organizations & group practices 4

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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1720505449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 LA HONDA DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995171343",
            "telephone_number": "907-229-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W NORTHERN LIGHTS BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032502",
            "telephone_number": "907-274-9345",
            "fax_number": "907-274-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELDEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LMT, C ROLFER TM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-23",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "151375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.