Organization Active NPI

Chrysalisis; a New Shift in Life

  • Massage Therapist
  • Pueblo, CO
National Provider Identifier
1902595846
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
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

Updated by the provider on May 5, 2023

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

Authorized official

Name
Barbara Rae Frye, LMTNPI 1952977415
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)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.