Active NPI
Julia Elizabeth Shackelford, MASSAGE THERAPIST
- Massage Therapist
- Spring Lake, NC
National Provider Identifier
1326936634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 21674
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 21674 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hesed Bodywork LLC | Massage Therapist | Current | 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.
-
- Massage Therapist
- Spring Lake, NC
- NPI 1811616139
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.