Active NPI
Sharon Kelly LMT, Inc.
- Massage Therapist
- Largo, FL
National Provider Identifier
1407330632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon Ann Kelly, LMT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 471312075 | Other | OPTUM HEALTH |
National Provider Directory
National Provider DirectoryLocations
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.