Active NPI
Christopher James Hackett, L.M.T
- Massage Therapist
- Plattsburgh, NY
National Provider Identifier
1790864684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 011234
- Practice address
- 312 Cornelia St.
12 Plattsburgh Plaza
Plattsburgh, NY 12901 - Phone
- (518) 561-5958
- NPI assigned
- Nov 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 011234 | NY | Primary |
Addresses
Primary practice location
312 Cornelia St.
12 Plattsburgh Plaza
Plattsburgh, NY 12901
Mailing address
5 Tremblay Ave
Plattsburgh, NY 12901-2520
Phone (518) 561-2230
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
| License | State | Type | Specialty |
|---|---|---|---|
| 011234 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790864684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 TREMBLAY AVE",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129012520",
"telephone_number": "518-561-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 CORNELIA ST.",
"address_2": "12 PLATTSBURGH PLAZA",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "12901",
"telephone_number": "518-561-5958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKETT",
"first_name": "CHRISTOPHER",
"middle_name": "JAMES",
"credential": "L.M.T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "011234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.