Individual provider Active NPI

Chrissy C Claveria, L.M.T.

  • Mechanotherapist
  • Chiefland, FL
National Provider Identifier
1942481585
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA33104 Issued in FL
Practice address
609 N Main St
Chiefland, FL 32626-1106
Phone
(352) 949-0971
NPI assigned
Nov 26, 2007
Last updated
Nov 26, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA33104 FL Primary

Addresses

Primary practice location

609 N Main St
Chiefland, FL 32626-1106

Mailing address

PO Box 2393
Chiefland, FL 32644-2393
Phone (352) 493-1748

Other identifiers 1

IdentifierTypeStateIssuer
C1279OtherFLBLUE CROSS BLUE SHIELD

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
MA33104FLMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1942481585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2393",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326442393",
            "telephone_number": "352-493-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N MAIN ST",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326261106",
            "telephone_number": "352-949-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAVERIA",
        "first_name": "CHRISSY",
        "middle_name": "C",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA33104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "C1279",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chiefland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.