Shantia Blackwell

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

033898 Issued in NY

Practice address

603 Bergen St FL 1
Brooklyn, NY 11238-3405

Phone

(646) 648-8877

NPI assigned

Jul 15, 2026

Last updated

Jul 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1609796275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 MACDONOUGH ST APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112331358",
            "telephone_number": "646-648-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 BERGEN ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383405",
            "telephone_number": "646-648-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "SHANTIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "033898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nya Blacknall
• Uche Blackstock, M.D.
• Blackstone Pharmacy
• Anthony Eurico Blackwell Jr., MS
• Deve'on Blackwell
• Katherine Vera Blackwood
• Tanasha J Blackwood
• Venecia Blackwood
• Aspen Elizabeth Blades
• Evalyn Nelson Bladstrom

• Massage Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.