Active NPI
Christopher Lewis Stubbs, LMT, ST
- Massage Therapist
- Old Saybrook, CT
National Provider Identifier
1881377216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10808
- Practice address
- 61 Main St Ste 4S
Old Saybrook, CT 06475-1545 - Phone
- (860) 964-0483
- NPI assigned
- Aug 11, 2023
- 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 | 10808 | CT | Primary |
Addresses
Primary practice location
61 Main St Ste 4S
Old Saybrook, CT 06475-1545
Mailing address
61 Main St Ste 4S
Old Saybrook, CT 06475-1545
Phone (860) 964-0483
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 |
|---|---|---|---|
| 10808 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1881377216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 MAIN ST STE 4S",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064751545",
"telephone_number": "860-964-0483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 MAIN ST STE 4S",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064751545",
"telephone_number": "860-964-0483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUBBS",
"first_name": "CHRISTOPHER",
"middle_name": "LEWIS",
"credential": "LMT, ST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-11",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CT",
"license": "10808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Saybrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.