Shanae Ariel Blackwell, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT143064 Issued in TX

Practice address

7634 Eagle Park Dr
San Antonio, TX 78250-5201

Phone

(210) 803-9632

NPI assigned

Feb 5, 2025

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

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1124832654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7634 EAGLE PARK DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782505201",
            "telephone_number": "210-803-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7634 EAGLE PARK DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782505201",
            "telephone_number": "210-803-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "SHANAE",
        "middle_name": "ARIEL",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT143064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory A Blacksmith, PHARMD
• Heather Payton Blacksmith, PHARM.D.
• Briana Donise Blackstock, MSN, NNP-BC
• Collin Blackwell, PHARMD
• Earnie M Blackwell, W.H.N.P, R.N.C.
• Tianna Blackwill
• Bladee Blessings Care, LLC
• Bladee Enterprise International Company LLC
• Trista Bladegroen, LVN
• Joseph C Blader, PH.D.

• Massage Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.