Active NPI
Shontai Massey
- Recreational Therapist Assistant
- Salt Lake City, UT
National Provider Identifier
1699669929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreational Therapist Assistant
- License
- 14219499-4003
- Practice address
- 3855 S 700 E
Salt Lake City, UT 84106-1157 - Phone
- (801) 268-4766
- NPI assigned
- Jun 3, 2025
- 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 |
|---|---|---|---|---|
| Recreational Therapist Assistant | 226000000X | 14219499-4003 | UT | Primary |
Addresses
Primary practice location
3855 S 700 E
Salt Lake City, UT 84106-1157
Mailing address
3855 S 700 E
South Salt Lake, UT 84106-1157
Phone (801) 268-4766
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14219499-4003 | UT | MD | Recreational Therapist Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1699669929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3855 S 700 E",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841061157",
"telephone_number": "801-268-4766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 S 700 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841061157",
"telephone_number": "801-268-4766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY",
"first_name": "SHONTAI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-03",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "226000000X",
"taxonomy_group": "",
"desc": "Recreational Therapist Assistant",
"state": "UT",
"license": "14219499-4003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.