Shakti Therapy Center Inc

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MM24683 Issued in FL

Legal business name

SHAKTI THERAPY CENTER INC

Practice address

10200 NW 25TH St
Suite 203
Doral, FL 33172-5921

Phone

(786) 228-5402

Fax

(305) 994-2148

NPI assigned

Apr 14, 2010

Organization subpart

No

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

Authorized official

Name

Johanna Behrens, LMT

Title

Mechanotherapist

Phone

(786) 228-5402

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1477879518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 NW 25TH ST",
            "address_2": "SUITE 203",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725921",
            "telephone_number": "786-228-5402",
            "fax_number": "305-994-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 NW 25TH ST",
            "address_2": "SUITE 203",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725921",
            "telephone_number": "786-228-5402",
            "fax_number": "305-994-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKTI THERAPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "BEHRENS",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "MECHANOTHERAPIST",
        "authorized_official_telephone_number": "786-228-5402",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MM24683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Shamsian, DDS
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• Mechanotherapist in Doral, FL
• Providers in Doral, FL by specialty
• Mechanotherapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.