Sean Esquipula Schultz, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

R02397 Issued in MD

Practice address

4907 Niagara Rd Ste 102
College Park, MD 20740-1100

Phone

(240) 206-7575

NPI assigned

Aug 7, 2018

Last updated

Aug 7, 2018By the provider in NPPES

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

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1073092490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 CIPRIANO SPRINGS DR",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063835",
            "telephone_number": "202-365-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 NIAGARA RD STE 102",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401100",
            "telephone_number": "240-206-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "SEAN",
        "middle_name": "ESQUIPULA",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "R02397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hamid Sawaneh
• Stuart D. Schatz, O.D.
• Paula Christine Schauer, M.S., CCC-A, FAAA
• Jessica Leigh Schmidt, RPSGT, CCSH, FACHE
• Eric Schuettenberg, DPT
• Vanessa Searcy, SLP
• Robert Stuart Seiler Jr., MSW, LCSW-C
• Valeri P Semendy, MD
• Clementina Sama Sesay
• Setif Inc

• Massage Therapist in College Park, MD
• Providers in College Park, MD by specialty
• Massage Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.