Active NPI
Shantay Felicia Maniero, MASSAGE THERAPIT
- Massage Therapist
- Woburn, MA
National Provider Identifier
1104236181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 12312
- Practice address
- 10 Tower Office Park
Woburn, MA 01801-4711 - Phone
- (978) 201-5022
- NPI assigned
- Apr 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 12312 | MA | Primary |
Addresses
Primary practice location
10 Tower Office Park
Woburn, MA 01801-4711
Mailing address
PO Box 503
Harvard, MA 01451-0503
Phone (978) 201-5022
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12312 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405036800000",
"number": "1104236181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 503",
"city": "HARVARD",
"state": "MA",
"postal_code": "014510503",
"telephone_number": "978-201-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 TOWER OFFICE PARK",
"city": "WOBURN",
"state": "MA",
"postal_code": "018014711",
"telephone_number": "978-201-5022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANIERO",
"first_name": "SHANTAY",
"middle_name": "FELICIA",
"name_prefix": "Ms.",
"credential": "MASSAGE THERAPIT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-30",
"last_updated": "2014-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MA",
"license": "12312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.