Active NPI
Sharon Reynolds, CMT, NMT
- Massage Therapist
- Jackson, CA
National Provider Identifier
1710797162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 95904
- Practice address
- 177 Placer Dr
Jackson, CA 95642-2158 - Phone
- (209) 660-1414
- NPI assigned
- Jan 8, 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 95904 | CA | Primary |
Addresses
Primary practice location
177 Placer Dr
Jackson, CA 95642-2158
Mailing address
177 Placer Dr
Jackson, CA 95642-2158
Phone (209) 660-1414
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 |
|---|---|---|---|
| 95904 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1710797162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 PLACER DR",
"city": "JACKSON",
"state": "CA",
"postal_code": "956422158",
"telephone_number": "209-660-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 PLACER DR",
"city": "JACKSON",
"state": "CA",
"postal_code": "956422158",
"telephone_number": "209-660-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "SHARON",
"name_prefix": "Ms.",
"credential": "CMT, NMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-08",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "95904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, CA
- Raleys
- Danuta Eliza Chojczak Ramaley, LCSW
- Ray Properties Kit Carson Inc. (Kit Carson Nursing and Rehabilitation Center)
- Allison Marie Regan
- Robert Michael Reynolds, LVN
- Baxter Key Richardson IV, MD
- Stephen Jay Riggio, DDS
- Juan C Rivera, DPT
- RMC Personal Care, LLC (Rocky Mountain Personal Care - California)
- Alisa A Roda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.