Shane Simmons, LMT, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

72350 Issued in CA

Practice address

50 Iron Point Cir Ste 100
Folsom, CA 95630-8594

Phone

(916) 836-1111

NPI assigned

Oct 29, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Iron Point Physical Therapy Inc

  • Physical Therapist
  • Folsom, CA
  • NPI 1497450522
  NPD

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1023830130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 PICO RIVERA DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 IRON POINT CIR STE 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308594",
            "telephone_number": "916-836-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "SHANE",
        "credential": "LMT, CMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "72350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Precision Surgical, Inc.
• Diana Silvestre, APCC, AMFT
• Hanna Simmons
• Keith Thomas Simmons
• Leona Simmons
• Kathleen Simpson
• Maryann Simpson, N.P.
• Ronald Ramon Simpson, PA-C
• Akash Denzel Singh
• Gary Singh, BCBA

• Massage Therapist in Folsom, CA
• Providers in Folsom, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.