Organization Active NPI

Sharon Kelly LMT, Inc.

  • Massage Therapist
  • Largo, FL
National Provider Identifier
1407330632
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SHARON KELLY LMT, INC.
Practice address
801 W Bay Dr Ste 500
Largo, FL 33770-3220
Phone
(727) 301-5724
NPI assigned
Sep 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Authorized official

Name
Sharon Ann Kelly, LMTNPI 1013482348
Title
Massage Therapist
Phone
(727) 301-5724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

801 W Bay Dr Ste 500
Largo, FL 33770-3220

Mailing address

801 W Bay Dr Ste 500
Largo, FL 33770-3220
Phone (727) 301-5724

Other identifiers 1

IdentifierTypeStateIssuer
471312075OtherOPTUM HEALTH

National Provider Directory

National Provider Directory

Locations

801 West Bay Dr
Ste 500
Largo, FL 33770
Phone (727) 301-5724

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1407330632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W BAY DR STE 500",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703220",
            "telephone_number": "727-301-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W BAY DR STE 500",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703220",
            "telephone_number": "727-301-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON KELLY LMT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "727-301-5724",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM HEALTH",
            "identifier": "471312075",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.