Individual provider Active NPI

Ya Shi

  • Massage Therapist
  • Herndon, VA
National Provider Identifier
1285484113
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
150 Elden St Ste 150
Herndon, VA 20170-4855
Phone
(571) 519-9086
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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 VA Primary

Addresses

Primary practice location

150 Elden St Ste 150
Herndon, VA 20170-4855

Mailing address

102 Elden St Ste 18
Herndon, VA 20170-4839
Phone (571) 352-4502

Other practice location 1

102 Elden St Ste 18
Herndon, VA 20170-4839
Phone (571) 352-4502

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

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Massage Spa Massage Therapist CurrentSince Mar 31, 2024 Accepting new patients

Locations

150 Elden St
Ste 150
Herndon, VA 20170
Phone (571) 519-9086

102 Elden St
Ste 18
Herndon, VA 20170
Phone (571) 352-4502

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": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1285484113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ELDEN ST STE 18",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704839",
            "telephone_number": "571-352-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ELDEN ST STE 150",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704855",
            "telephone_number": "571-519-9086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Elden St Ste 18",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201704839",
            "country_code": "US",
            "telephone_number": "571-352-4502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHI",
        "first_name": "YA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.