Active NPI
Shaina Brooks, MT
- Massage Therapist
- Morristown, VT
National Provider Identifier
1407526064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- LI-456675
- Practice address
- 66 Upper Main St
Morristown, VT 05661-6600 - Phone
- (404) 717-9978
- NPI assigned
- Sep 15, 2021
- Last updated
- Sep 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | LI-456675 | VT | Primary |
Addresses
Primary practice location
66 Upper Main St
Morristown, VT 05661-6600
Mailing address
PO Box 133
Stowe, VT 05672-0133
Phone (404) 717-9978
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LI-456675 | VT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1407526064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 133",
"city": "STOWE",
"state": "VT",
"postal_code": "056720133",
"telephone_number": "404-717-9978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 UPPER MAIN ST",
"city": "MORRISTOWN",
"state": "VT",
"postal_code": "056616600",
"telephone_number": "404-717-9978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "SHAINA",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-15",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "VT",
"license": "LI-456675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morristown, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.