Individual provider Active NPI

Julia Elizabeth Shackelford, MASSAGE THERAPIST

  • Massage Therapist
  • Spring Lake, NC
National Provider Identifier
1326936634
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
21674 Issued in NC
Practice address
6791 Overhills Rd
Spring Lake, NC 28390-8873
Phone
(910) 704-2220
NPI assigned
Jun 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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 21674 NC Primary

Addresses

Primary practice location

6791 Overhills Rd
Spring Lake, NC 28390-8873

Mailing address

98 Waters Edge Dr
Erwin, NC 28339-8668
Phone (910) 890-4950

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

LicenseStateTypeSpecialty
21674NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hesed Bodywork LLC Massage Therapist CurrentSince Jun 29, 2025 Accepting new patients

Locations

6791 Overhills Rd
Spring Lake, NC 28390
Phone (910) 704-2220

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": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1326936634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 WATERS EDGE DR",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283398668",
            "telephone_number": "910-890-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6791 OVERHILLS RD",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283908873",
            "telephone_number": "910-704-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACKELFORD",
        "first_name": "JULIA",
        "middle_name": "ELIZABETH",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "21674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.