Shannon Ann Brooks, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

26477 Issued in OR

Practice address

401 Ratcliff Dr SE Ste 190
Salem, OR 97302-4942

Phone

(503) 588-6633

NPI assigned

May 13, 2024

Sex

Female

Sole proprietor

No

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

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.

• Brooks' Wellness Massage LLC

  • Massage Therapist
  • Silverton, OR
  • NPI 1356155113
  NPD Authorized official

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1053169284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 IKE MOONEY RD NE",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973818707",
            "telephone_number": "503-562-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RATCLIFF DR SE STE 190",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024942",
            "telephone_number": "503-588-6633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "806 Ike Mooney Rd NE",
            "address_purpose": "LOCATION",
            "city": "Silverton",
            "state": "OR",
            "postal_code": "973818707",
            "country_code": "US",
            "telephone_number": "503-562-0654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "SHANNON",
        "middle_name": "ANN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deena Ann Brokaw, PSS
• Brookdale Senior Living Communities, Inc.
• Kimberly Nicole Brookins, LCSW
• Beverly Brooks
• Jessica Lynn Brooks
• Ulista Jean Brooks, MD
• Nancy Elaine Broskie, M.D.
• Dawn Star Brothers, NMTCB, ARRT (R)(NM)
• Kevin Brotton
• Brionna Brouhard, L.M.T

• Massage Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.