Individual provider Active NPI

Kendra Shellhammer, LMT

  • Massage Therapist
  • Oregon, OH
National Provider Identifier
1104436013
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.023237 Issued in OH
Practice address
2300 Navarre Ave Ste 204
Oregon, OH 43616-3178
Phone
(419) 720-8604
NPI assigned
Aug 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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 33.023237 OH Primary

Addresses

Primary practice location

2300 Navarre Ave Ste 204
Oregon, OH 43616-3178

Mailing address

521 N Main St Apt 2
Walbridge, OH 43465-1074
Phone (567) 970-0805

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
33.023237OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
H&M Open Arms Massage Studio LLC Massage Therapist CurrentSince Aug 9, 2020 Accepting new patients

Locations

2300 Navarre Ave
Ste 204
Oregon, OH 43616
Phone (419) 720-8604

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1104436013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 N MAIN ST APT 2",
            "city": "WALBRIDGE",
            "state": "OH",
            "postal_code": "434651074",
            "telephone_number": "567-970-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 NAVARRE AVE STE 204",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163178",
            "telephone_number": "419-720-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLHAMMER",
        "first_name": "KENDRA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.023237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.