Individual provider Active NPI

Shameka Bradwell, LMT

  • Massage Therapist
  • Tallahassee, FL
National Provider Identifier
1700684271
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
105562 Issued in FL
Practice address
3982 Remer CT
Tallahassee, FL 32303-1730
Phone
(770) 882-7677
NPI assigned
Mar 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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 105562 FL Primary

Addresses

Primary practice location

3982 Remer CT
Tallahassee, FL 32303-1730

Mailing address

3982 Remer CT
Tallahassee, FL 32303-1730
Phone (770) 882-7677

Other names 1

  • Shameka Bradwell Other name

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
105562FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1700684271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3982 REMER CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323031730",
            "telephone_number": "770-882-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3982 REMER CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323031730",
            "telephone_number": "770-882-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADWELL",
        "first_name": "SHAMEKA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "105562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAMEKA",
            "last_name": "BRADWELL",
            "credential": "MASSAGE THERAPIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

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

Verify at the official NPI Registry.