Individual provider Active NPI

Christopher Eric Betow, LMT

  • Massage Therapist
  • Appleton, WI
National Provider Identifier
1912635210
Registry record updated Aug 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
12373-146 Issued in WI
Practice address
1703 S Oneida St Ste E
Appleton, WI 54915-1524
Phone
(920) 427-3005
NPI assigned
Aug 13, 2022
Last updated
Aug 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 12373-146 WI Primary
Massage Therapist 225700000X 18KT01443600 NJ

Addresses

Primary practice location

1703 S Oneida St Ste E
Appleton, WI 54915-1524

Mailing address

1931 S Lawe St
Appleton, WI 54915-2406

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Chrisb@foxvalleyfitness.com

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
18KT01443600NJMDMassage Therapist
12373-146WIMDMassage Therapist

Interoperability endpoints

  • Direct secure messaging: chrisb@foxvalleyfitness.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660348800000",
    "number": "1912635210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 S LAWE ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549152406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 S ONEIDA ST STE E",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151524",
            "telephone_number": "920-427-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETOW",
        "first_name": "CHRISTOPHER",
        "middle_name": "ERIC",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-13",
        "last_updated": "2022-08-13",
        "certification_date": "2022-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "12373-146",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT01443600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Chrisb@foxvalleyfitness.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "address_1": "1703 S Oneida St Ste E",
            "city": "Appleton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549151524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2022; 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.