Individual provider Active NPI

Sabas Shawn Uriostegui, LMT

  • Massage Therapist
  • Chicago, IL
National Provider Identifier
1003204314
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227016113 Issued in IL
Practice address
79 E 16TH St
Chicago, IL 60616-5520
Phone
(312) 842-1229
NPI assigned
Jan 8, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 227016113 IL Primary

Addresses

Primary practice location

79 E 16TH St
Chicago, IL 60616-5520

Mailing address

6026 S Sawyer Ave
Chicago, IL 60629-3227
Phone (773) 577-6778

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
227016113ILMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1003204314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6026 S SAWYER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293227",
            "telephone_number": "773-577-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 E 16TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606165520",
            "telephone_number": "312-842-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URIOSTEGUI",
        "first_name": "SABAS",
        "middle_name": "SHAWN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227016113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.