Active NPI
Shane Ericson Messmer
- Physical Therapy Assistant
- Weeki Wachee, FL
National Provider Identifier
1205388196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 27163
- Practice address
- 6226 Commercial Way
Weeki Wachee, FL 34613-6325 - Phone
- (352) 597-8996
- NPI assigned
- Oct 26, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 27163 | FL | Primary |
Addresses
Primary practice location
6226 Commercial Way
Weeki Wachee, FL 34613-6325
Mailing address
12334 Jillian Cir
Hudson, FL 34669-5001
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 |
|---|---|---|---|
| 27163 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1205388196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12334 JILLIAN CIR",
"city": "HUDSON",
"state": "FL",
"postal_code": "346695001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6226 COMMERCIAL WAY",
"city": "WEEKI WACHEE",
"state": "FL",
"postal_code": "346136325",
"telephone_number": "352-597-8996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSMER",
"first_name": "SHANE",
"middle_name": "ERICSON",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-26",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "27163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weeki Wachee, FL
- Erin Abbott Street Mateer, MD
- Gaurav Mathur, MD
- Kathryn Lee Mazzella, PMHNP-BC
- Clevon Shamar McGee
- Hector Medrano, PHARMD
- Mobility Styles Inc
- Frederick J Monfett
- Nature Coast at-Home Services, Inc. (Right at Home Nature Coast)
- Nature Coast Endodontics
- Newborn Hearing Screens of Oak Hill Hospital, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.