Shakti Massage Therapy LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SHAKTI MASSAGE THERAPY LLC

Practice address

13802 N Scottsdale Rd Ste 120-19
Scottsdale, AZ 85254-3458

Phone

(480) 359-5890

NPI assigned

Jun 8, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stayzha C Lee

Title

Owner/LMT

Phone

(480) 719-9763

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shakti Massage Therapy Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1821613621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13802 N SCOTTSDALE RD STE 120-19",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13802 N SCOTTSDALE RD STE 120-19",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543458",
            "telephone_number": "480-359-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKTI MASSAGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "STAYZHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/LMT",
        "authorized_official_telephone_number": "480-719-9763"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY",
            "identifier": "01",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://squareup.com/dashboard/customers/directory",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "13802 N Scottsdale Rd Ste 120-19",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852543458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Shakti Massage Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Surbhi Shah, M.D.
• Leila Shahbazi, DMD, MPH
• Najmeh Shahbazi
• Monzer Shakally, DDS
• William Alton Shakespeare, MD
• Shambhala Living, LLC
• Bradley Shamis, PH.D.
• Hanan Shamoun, RPH
• Mona Janis Shane, MA, LPC, MAC
• Caroline Shanholtz, PHD

• Multi-Specialty Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.