Individual provider Active NPI

Shannon Adolphine Ann Ostmeier, L.M.T.

  • Massage Therapist
  • Halfmoon, NY
National Provider Identifier
1427410224
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
027864-1 Issued in NY
Practice address
9 Corporate Dr
Suite 3
Halfmoon, NY 12065-8636
Phone
(518) 986-4123
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 027864-1 NY Primary

Addresses

Primary practice location

9 Corporate Dr
Suite 3
Halfmoon, NY 12065-8636

Mailing address

9 Corporate Dr
Suite 3
Halfmoon, NY 12065-8636
Phone (518) 986-4123

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

LicenseStateTypeSpecialty
027864-1NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1427410224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CORPORATE DR",
            "address_2": "SUITE 3",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120658636",
            "telephone_number": "518-986-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CORPORATE DR",
            "address_2": "SUITE 3",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120658636",
            "telephone_number": "518-986-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTMEIER",
        "first_name": "SHANNON",
        "middle_name": "ADOLPHINE ANN",
        "name_prefix": "Ms.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "027864-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Halfmoon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.