Individual provider Active NPI

Shelema M Sawyer-Cassidy, MASSAGE THERAPIST

  • Massage Therapist
  • Hope Mills, NC
National Provider Identifier
1063933190
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
14107 Issued in NC
Practice address
3404 Davis St
Hope Mills, NC 28348-3214
Phone
(910) 835-9096
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

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 14107 NC Primary

Addresses

Primary practice location

3404 Davis St
Hope Mills, NC 28348-3214

Mailing address

29 S Fayetteville St Ste 409
Parkton, NC 28371-9006
Phone (910) 835-9096

Other names 1

  • Shelema M Harris Former name

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
14107NCMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1063933190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 S FAYETTEVILLE ST STE 409",
            "city": "PARKTON",
            "state": "NC",
            "postal_code": "283719006",
            "telephone_number": "910-835-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 DAVIS ST",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283483214",
            "telephone_number": "910-835-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER-CASSIDY",
        "first_name": "SHELEMA",
        "middle_name": "M",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "14107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELEMA",
            "last_name": "HARRIS",
            "middle_name": "M",
            "credential": "MASSAGE THERAPIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hope Mills, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; 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.