Individual provider Active NPI

Joshua Shumelda, LMT

  • Massage Therapist
  • West Palm Beach, FL
National Provider Identifier
1588899751
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
39039 Issued in FL
Practice address
1800 S Dixie Hwy
Suite a
West Palm Beach, FL 33401-7311
Phone
(561) 337-4421
Fax
(561) 214-4778
NPI assigned
May 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 39039 FL Primary

Addresses

Primary practice location

1800 S Dixie Hwy
Suite a
West Palm Beach, FL 33401-7311

Mailing address

2910 Eagle LN
West Palm Beach, FL 33409-7243
Phone (561) 324-2519

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
39039FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1588899751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 EAGLE LN",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334097243",
            "telephone_number": "561-324-2519",
            "fax_number": "561-214-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 S DIXIE HWY",
            "address_2": "SUITE A",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334017311",
            "telephone_number": "561-337-4421",
            "fax_number": "561-214-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMELDA",
        "first_name": "JOSHUA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "39039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.