Elizebeth J Shalala, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA103702 Issued in FL

Practice address

11 Main St Ste 2
Titusville, FL 32796-3590

Phone

(321) 225-9788

NPI assigned

Aug 20, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other names 1

• Elizebeth J Ross Other name

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1336371640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 COUNTRY CLUB DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327804985",
            "telephone_number": "321-225-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MAIN ST STE 2",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963590",
            "telephone_number": "321-225-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALALA",
        "first_name": "ELIZEBETH",
        "middle_name": "J",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NY",
            "license": "3019910435",
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "NY",
            "license": "3019910444",
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "NY",
            "license": "3019910440",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA103702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZEBETH",
            "last_name": "ROSS",
            "middle_name": "J",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katrina Lee Senn
• Kimberly Lynn Severson, CD(DONA),CCCE,CBE
• Deanna Michelle Sevier
• Shaun Shaffner, D.C.
• Ashok Champaklal Shah, MD
• Kristy McCoy Sharpe
• Emily Danielle Sheely, LCSW
• Sachin R Shenoy, MD
• Sheridan Healthcorp Inc
• Bradley Leone Shoss, MD

• Massage Therapist in Titusville, FL
• Providers in Titusville, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.