Shannon Waid, LMT, CST

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MA86132 Issued in FL

Practice address

9020 58TH Dr E Ste 101
Bradenton, FL 34202-6107

Phone

(941) 755-0406

NPI assigned

Aug 29, 2019

Sex

Female

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

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.

• Massage Therapy Connections, LLC

  • Massage Therapist
  • Bradenton, FL
  • NPI 1033595418
  NPD (past)

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1093363442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 166TH ST NE",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342125605",
            "telephone_number": "720-325-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 58TH DR E STE 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342026107",
            "telephone_number": "941-755-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAID",
        "first_name": "SHANNON",
        "credential": "LMT, CST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA86132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vulnerati, LLC
• Patricia A Vulopas, PT
• Alexis Wade, LMHC
• Barbara R Wagner, M.D.
• Waguih El Masry MD PA
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP

• Mechanotherapist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Mechanotherapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.