Individual provider Active NPI

Shahla Kamoee, MASSAGE THERPAIST

  • Massage Therapist
  • Cockeysville, MD
National Provider Identifier
1083195879
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
M04007 Issued in MD
Practice address
14B Scott Adam Rd
Cockeysville, MD 21030-3217
Phone
(410) 683-1515
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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 M04007 MD Primary

Addresses

Primary practice location

14B Scott Adam Rd
Cockeysville, MD 21030-3217

Mailing address

14B Scott Adam Rd
Cockeysville, MD 21030-3217

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
M04007MDMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1083195879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14B SCOTT ADAM RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14B SCOTT ADAM RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303217",
            "telephone_number": "410-683-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMOEE",
        "first_name": "SHAHLA",
        "credential": "MASSAGE THERPAIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M04007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

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