Active NPI
Shannon J Kamine, LMT
- Massage Therapist
- Greenfield, WI
National Provider Identifier
1447019971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13272-146
- Practice address
- 8405 W Forest Home Ave Ste 102
Greenfield, WI 53228-3407 - Phone
- (414) 391-7129
- Fax
- (414) 220-9502
- NPI assigned
- Mar 18, 2024
- 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 | 13272-146 | WI | Primary |
Addresses
Primary practice location
8405 W Forest Home Ave Ste 102
Greenfield, WI 53228-3407
Mailing address
8405 W Forest Home Ave Ste 102
Greenfield, WI 53228-3407
Phone (414) 391-7129
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13272-146 | WI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1447019971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8405 W FOREST HOME AVE STE 102",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532283407",
"telephone_number": "414-391-7129",
"fax_number": "414-220-9502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8405 W FOREST HOME AVE STE 102",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532283407",
"telephone_number": "414-391-7129",
"fax_number": "414-220-9502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMINE",
"first_name": "SHANNON",
"middle_name": "J",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-18",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "13272-146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.