Individual provider Active NPI

Christopher D Sage, LMT

  • Massage Therapist
  • Poulsbo, WA
National Provider Identifier
1972117406
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
61102440 Issued in WA
Practice address
18870 8TH Ave NE
Poulsbo, WA 98370-6233
Phone
(509) 713-9330
NPI assigned
Sep 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 61102440 WA Primary

Addresses

Primary practice location

18870 8TH Ave NE
Poulsbo, WA 98370-6233

Mailing address

34086 Hood Canal Dr NE
Kingston, WA 98346-9704
Phone (509) 713-9330

Other practice location 1

34086 Hood Canal Dr NE
Kingston, WA 98346-9704
Phone (509) 713-9330

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
61102440WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1972117406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34086 HOOD CANAL DR NE",
            "city": "KINGSTON",
            "state": "WA",
            "postal_code": "983469704",
            "telephone_number": "509-713-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18870 8TH AVE NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706233",
            "telephone_number": "509-713-9330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34086 Hood Canal Dr NE",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "WA",
            "postal_code": "983469704",
            "country_code": "US",
            "telephone_number": "509-713-9330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAGE",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61102440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.