Susan Shore, LMBT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

19162 Issued in NC

Practice address

5411 W Friendly Ave Ste B
Greensboro, NC 27410-4243

Phone

(336) 612-4464

NPI assigned

Mar 31, 2022

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

Electronic endpoints 1

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": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1306586821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 W FRIENDLY AVE STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104243",
            "telephone_number": "336-612-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 W FRIENDLY AVE STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104243",
            "telephone_number": "336-612-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE",
        "first_name": "SUSAN",
        "credential": "LMBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "19162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.massagebook.com/dashboard#/messaging",
            "affiliation": "N",
            "endpointDescription": "massage book website message center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct messages",
            "address_1": "5411 W Friendly Ave Ste B",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274104243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cameron B. Shoemaker
• David L Shoemaker, MD
• Susan Ross Shoemaker, LPC-S, NCC, ACS
• Mark Edward Shogry, MD
• Cora Shore, LPTA
• Mackenzie E Short, MD
• Terri Lynn Shove
• Victor Showalter
• Caroline Hollowell Showers
• John Philip Showers, PT, DPT

• Massage Therapist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.