Active NPI
Christie Desimone, L.M.T.
- Massage Therapist
- Flower Mound, TX
National Provider Identifier
1942430558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT104316
- Practice address
- 2653 Sagebrush Dr
Suite 230
Flower Mound, TX 75028-2733 - Phone
- (214) 998-8222
- NPI assigned
- Jul 16, 2009
- Last updated
- Jul 16, 2009
- Sex
- Female
- 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 | MT104316 | TX | Primary |
Addresses
Primary practice location
2653 Sagebrush Dr
Suite 230
Flower Mound, TX 75028-2733
Mailing address
1301 West FM 407
Suite 201-337
Lewisville, TX 75077-2183
Phone (214) 998-8222
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 |
|---|---|---|---|
| MT104316 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247702400000",
"number": "1942430558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 WEST FM 407",
"address_2": "SUITE 201-337",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750772183",
"telephone_number": "214-998-8222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2653 SAGEBRUSH DR",
"address_2": "SUITE 230",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750282733",
"telephone_number": "214-998-8222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESIMONE",
"first_name": "CHRISTIE",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-16",
"last_updated": "2009-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT104316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.