Christine E. Shaw, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA31088 Issued in FL

Practice address

2425 N Courtenay Pkwy
Suite #8
Merritt Island, FL 32953-4100

Phone

(321) 454-2070

NPI assigned

Jun 11, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639373137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 N COURTENAY PKWY",
            "address_2": "SUITE #8",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534100",
            "telephone_number": "321-454-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 N COURTENAY PKWY",
            "address_2": "SUITE #8",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534100",
            "telephone_number": "321-454-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CHRISTINE",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA31088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "MA31088",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESTABLISHMENT LICENSE",
            "identifier": "MM14554",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Servant Heart Collaborative Care, LLC.
• Katherine L Shankland, LMT
• Amit Kumar Sharma, MD
• Allyssa N Sharrow, DPT
• Barbara Sharrow
• William E Shaw Jr., M.D.
• Steven Eugene Shepard, PT
• Tereasa Dianne Shepherd, P.T., MSHA
• Shrew Inc.
• Priscila Rosal Siaga Jenkins, RN

• Massage Therapist in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.