Active NPI
Chrysalisis; a New Shift in Life
- Massage Therapist
- Pueblo, CO
National Provider Identifier
1902595846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- CHRYSALISIS; A NEW SHIFT IN LIFE
- Practice address
- 411 Colorado Ave
Pueblo, CO 81004-2010 - Phone
- (804) 240-1964
- Fax
- (303) 443-0500
- NPI assigned
- May 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara Rae Frye, LMT
- Title
- Massage Therapist
- Phone
- (804) 240-1964
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
411 Colorado Ave
Pueblo, CO 81004-2010
Mailing address
4005 Oneal Ave Apt 12
Pueblo, CO 81005-2788
Phone (804) 240-1964
Other names 1
- Barbara Rae Frye
National Provider Directory
National Provider DirectoryLocations
411 Colorado Ave
Pueblo, CO 81004
Phone (719) 635-5528
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Pueblo West, CO
- NPI 1952977415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683244800000",
"number": "1902595846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4005 ONEAL AVE APT 12",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810052788",
"telephone_number": "804-240-1964",
"fax_number": "303-443-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 COLORADO AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810042010",
"telephone_number": "804-240-1964",
"fax_number": "303-443-0500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRYSALISIS; A NEW SHIFT IN LIFE",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-05",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A",
"authorized_official_last_name": "FRYE",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "RAE",
"authorized_official_title_or_position": "MASSAGE THERAPIST",
"authorized_official_telephone_number": "804-240-1964",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Barbara Rae Frye",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.