Sharon M Massanelli, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA45952 Issued in FL

Practice address

880 A1A N
Suite 18a
Ponte Vedra Beach, FL 32082-3220

Phone

(904) 285-2910

Fax

(904) 285-4663

NPI assigned

Dec 8, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ponte Vedra Physical Therapy, Inc.

  • Rehabilitation Clinic/Center
  • Ponte Vedra Beach, FL
  • NPI 1043246580
  NPD (past)
• PVPT, Inc.

  • Rehabilitation Clinic/Center
  • Ponte Vedra Beach, FL
  • NPI 1417992231
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316007735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48116",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322478116",
            "telephone_number": "904-725-1657",
            "fax_number": "904-725-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 A1A N",
            "address_2": "SUITE 18A",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823220",
            "telephone_number": "904-285-2910",
            "fax_number": "904-285-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSANELLI",
        "first_name": "SHARON",
        "middle_name": "M",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA45952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Francis Maroney, DDS
• Shelley Marsh, SLP
• Timothy Joseph Marten Jr., DPT
• Ashley Lynn Martin, APRN
• Jaime Ostendorf Masotti
• Joseph Charles Mavec, D.D.S., M.S.
• Damian Michael May, PHARMD
• Korrie Pujadas Mayo, A.R.N.P.
• Chelsea Anne Mazies
• Shane Francis McCann, D.C.

• Massage Therapist in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.