Individual provider Active NPI

Shirl Gene Ross

  • Massage Therapist
  • Greenland, NH
National Provider Identifier
1003567934
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
3297 Issued in NH
Practice address
13 March Farm Way Unit C
Greenland, NH 03840-6235
Phone
(603) 380-7174
NPI assigned
Jan 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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 3297 NH Primary

Addresses

Primary practice location

13 March Farm Way Unit C
Greenland, NH 03840-6235

Mailing address

286 S Main St
Seabrook, NH 03874-4621
Phone (603) 674-3093

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@kalanimassage.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
3297NHMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ka Lani LLC PastSince Jan 21, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1003567934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 S MAIN ST",
            "city": "SEABROOK",
            "state": "NH",
            "postal_code": "038744621",
            "telephone_number": "603-674-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 MARCH FARM WAY UNIT C",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038406235",
            "telephone_number": "603-380-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SHIRL",
        "middle_name": "GENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NH",
            "license": "3297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@kalanimassage.com",
            "affiliation": "N",
            "address_1": "13 March Farm Way Unit C",
            "city": "Greenland",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038406235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenland, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.