Individual provider Active NPI

Sharon M. Landis, LMT

  • Massage Therapist
  • Easton, PA
National Provider Identifier
1104162734
Registry record updated Jan 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG#001077 Issued in PA
Practice address
206 S 16TH St
Easton, PA 18042-4742
Phone
(484) 550-2818
Fax
(610) 435-2358
NPI assigned
Jan 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MSG#001077 PA Primary
Massage Therapist 225700000X LIC#013454 NY

Addresses

Primary practice location

206 S 16TH St
Easton, PA 18042-4742

Mailing address

1344 W Walnut St
Allentown, PA 18102-4660
Phone (484) 550-2818

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
LIC#013454NYMDMassage Therapist
MSG#001077PAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1356998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356998400000",
    "number": "1104162734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 W WALNUT ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181024660",
            "telephone_number": "484-550-2818",
            "fax_number": "610-435-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S 16TH ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180424742",
            "telephone_number": "484-550-2818",
            "fax_number": "610-435-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "SHARON",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-01",
        "last_updated": "2013-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG#001077",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "LIC#013454",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2013; 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.