Active NPI
Kiley Butler Shipp, LMT
- Massage Therapist
- Pawleys Island, SC
National Provider Identifier
1831068345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 12789
- Practice address
- 13089 Ocean Hwy Unit D3
Pawleys Island, SC 29585-7140 - Phone
- (843) 314-8600
- NPI assigned
- Nov 3, 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 | 12789 | SC | Primary |
Addresses
Primary practice location
13089 Ocean Hwy Unit D3
Pawleys Island, SC 29585-7140
Mailing address
4480 Fringetree Dr
Murrells Inlet, SC 29576-4304
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Body Lab LLC | Massage Therapist | Current | Accepting new patients |
Locations
13089 Ocean Hwy
Unit D3
Pawleys Island, SC 29585
Phone (843) 314-8600
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.
-
- Massage Therapist
- Pawleys Island, SC
- NPI 1790654630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1831068345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4480 FRINGETREE DR",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295764304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13089 OCEAN HWY UNIT D3",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295857140",
"telephone_number": "843-314-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPP",
"first_name": "KILEY",
"middle_name": "BUTLER",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-03",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "12789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawleys Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.