Active NPI
Sheamus P Adair, LMT
- Massage Therapist
- Palmer, AK
National Provider Identifier
1023510310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 113354
- Practice address
- 810 S Colony Way
Palmer, AK 99645-6980 - Phone
- (907) 746-6980
- NPI assigned
- Mar 2, 2018
- Last updated
- Nov 13, 2024
- Sex
- Male
- 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 | 113354 | AK | Primary |
Addresses
Primary practice location
810 S Colony Way
Palmer, AK 99645-6980
Mailing address
1221 S Rogers Cir Apt G14
Wasilla, AK 99654-7298
Phone (907) 315-4901
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 |
|---|---|---|---|
| 113354 | AK | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1023510310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 S ROGERS CIR APT G14",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547298",
"telephone_number": "907-315-4901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 S COLONY WAY",
"city": "PALMER",
"state": "AK",
"postal_code": "996456980",
"telephone_number": "907-746-6980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAIR",
"first_name": "SHEAMUS",
"middle_name": "P",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-02",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "113354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.