Individual provider Active NPI

Tian Yu Shao

  • Massage Therapist
  • Newark, DE
National Provider Identifier
1821898271
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-0002077 Issued in DE
Practice address
16 Polly Drummond SHPG Ctr Ste 1
Newark, DE 19711-4861
Phone
(302) 883-7336
NPI assigned
Mar 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 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 MT-0002077 DE Primary

Addresses

Primary practice location

16 Polly Drummond SHPG Ctr Ste 1
Newark, DE 19711-4861

Mailing address

16 Polly Drummond SHPG Ctr Ste 1
Newark, DE 19711-4861
Phone (302) 883-7336

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-0002077DEMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1741996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741996800000",
    "number": "1821898271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 POLLY DRUMMOND SHPG CTR STE 1",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197114861",
            "telephone_number": "302-883-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POLLY DRUMMOND SHPG CTR STE 1",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197114861",
            "telephone_number": "302-883-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAO",
        "first_name": "TIAN",
        "middle_name": "YU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-15",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "DE",
            "license": "MT-0002077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.