Active NPI
Sharlann B Wagner, LMT
- Massage Therapist
- Jupiter, FL
National Provider Identifier
1487088985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 026403-1
- Practice address
- 17380 N Alternate A1A
Suite 303
Jupiter, FL 33477-5860 - Phone
- (845) 399-3727
- NPI assigned
- Sep 3, 2013
- 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 | 026403-1 | NY | Primary |
Addresses
Primary practice location
17380 N Alternate A1A
Suite 303
Jupiter, FL 33477-5860
Mailing address
3900 County Line Rd
8D
Tequesta, FL 33469-2262
Phone (845) 399-3727
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 |
|---|---|---|---|
| 026403-1 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1487088985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 COUNTY LINE RD",
"address_2": "8D",
"city": "TEQUESTA",
"state": "FL",
"postal_code": "334692262",
"telephone_number": "845-399-3727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17380 N ALTERNATE A1A",
"address_2": "SUITE 303",
"city": "JUPITER",
"state": "FL",
"postal_code": "334775860",
"telephone_number": "845-399-3727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "SHARLANN",
"middle_name": "B",
"name_prefix": "Miss",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-03",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "026403-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.