Individual provider Active NPI

Shannon Allstott, RMT

  • Massage Therapist
  • Fort Collins, CO
National Provider Identifier
1790113686
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0002002 Issued in CO
Practice address
148 W Oak St Ste C
Fort Collins, CO 80524-2893
Phone
(970) 829-1292
NPI assigned
Oct 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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 MT.0002002 CO Primary

Addresses

Primary practice location

148 W Oak St Ste C
Fort Collins, CO 80524-2893

Mailing address

2209 Cocklebur LN
Fort Collins, CO 80525-4366
Phone (970) 231-7689

Other practice location 1

1217 Riverside Ave
Fort Collins, CO 80524-3218
Phone (970) 231-7689

Other practice location 2

19 Old Town Sq Ste 238
Fort Collins, CO 80524-2471
Phone (970) 829-1292

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
MT.0002002COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1790113686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 COCKLEBUR LN",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254366",
            "telephone_number": "970-231-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 W OAK ST STE C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242893",
            "telephone_number": "970-829-1292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1217 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805243218",
            "country_code": "US",
            "telephone_number": "970-231-7689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Old Town Sq Ste 238",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805242471",
            "country_code": "US",
            "telephone_number": "970-829-1292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLSTOTT",
        "first_name": "SHANNON",
        "credential": "RMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-31",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0002002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.