Individual provider Active NPI

Shelly Ranae Collings, LMT

  • Massage Therapist
  • Pottstown, PA
National Provider Identifier
1578049946
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG012159 Issued in PA
Practice address
1024 Fallbrook LN
Pottstown, PA 19464-1745
Phone
(610) 310-5812
Fax
(610) 323-4021
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
Yes

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
MSG012159PAMDMassage Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MSG012159 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

1024 Fallbrook LN
Pottstown, PA 19464-1745

Mailing address

1024 Fallbrook LN
Pottstown, PA 19464-1745
Phone (610) 310-5812

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2018.

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1578049946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 FALLBROOK LN",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194641745",
            "telephone_number": "610-310-5812",
            "fax_number": "610-323-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 FALLBROOK LN",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194641745",
            "telephone_number": "610-310-5812",
            "fax_number": "610-323-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINGS",
        "first_name": "SHELLY",
        "middle_name": "RANAE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG012159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.