Isis Shabazz, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

33.025422 Issued in OH

Practice address

8803 Brecksville Rd
Brecksville, OH 44141-1932

Phone

(216) 952-3830

NPI assigned

May 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sage Shabazz Professional name

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": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1144919572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5247 WILSON MILLS RD # 206",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441433016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8803 BRECKSVILLE RD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411932",
            "telephone_number": "216-952-3830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7405 Detroit Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441023089",
            "country_code": "US",
            "telephone_number": "216-206-7330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHABAZZ",
        "first_name": "ISIS",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.025422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAGE",
            "last_name": "SHABAZZ",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kathleen Selby
• Richard Lee Sense
• Laurie Ann Serdinak Houghton, LPN
• Mitch Sermersheim
• George Steven Serna, PH.D.
• Arunika N Shah, MD
• Zahid R Shah, MD
• Brooke Marie Simons
• Gurdeep Singh, M.D.
• Jaclyn Sir Louis, MS, APRN, FNP-C

• Massage Therapist in Brecksville, OH
• Providers in Brecksville, OH by specialty
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.