Active NPI
Shelby L Hall, LMT
- Massage Therapist
- Anchorage, AK
National Provider Identifier
1760968242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 133045
- Practice address
- 360 E International Airport Rd Ste 4
Anchorage, AK 99518-1217 - Phone
- (907) 563-7700
- NPI assigned
- Jul 17, 2018
- 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 | 133045 | AK | Primary |
Addresses
Primary practice location
360 E International Airport Rd Ste 4
Anchorage, AK 99518-1217
Mailing address
4975 E Fernwood Dr
Wasilla, AK 99654-4420
Phone (907) 315-9614
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 |
|---|---|---|---|
| 133045 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gray Chiropractic Health Clinic LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541635200000",
"number": "1760968242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4975 E FERNWOOD DR",
"city": "WASILLA",
"state": "AK",
"postal_code": "996544420",
"telephone_number": "907-315-9614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 E INTERNATIONAL AIRPORT RD STE 4",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995181217",
"telephone_number": "907-563-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "SHELBY",
"middle_name": "L",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-17",
"last_updated": "2018-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "AK",
"license": "133045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.