Active NPI
Kelly Renshaw
- Massage Therapist
- Old Saybrook, CT
National Provider Identifier
1487581864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11688
- Practice address
- 220 Old Boston Post Rd # 4
Old Saybrook, CT 06475-2258 - Phone
- (860) 853-3338
- NPI assigned
- May 7, 2026
- 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 | 11688 | CT | Primary |
Addresses
Primary practice location
220 Old Boston Post Rd # 4
Old Saybrook, CT 06475-2258
Mailing address
220 Old Boston Post Rd # 4
Old Saybrook, CT 06475-2258
Phone (860) 853-3338
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1487581864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 OLD BOSTON POST RD # 4",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064752258",
"telephone_number": "860-853-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 OLD BOSTON POST RD # 4",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064752258",
"telephone_number": "860-853-3338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENSHAW",
"first_name": "KELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-07",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CT",
"license": "11688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Saybrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.