Individual provider Active NPI

Shawn Grisier, ART, CMT

  • Massage Therapist
  • Truckee, CA
National Provider Identifier
1831585249
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
16454 Issued in CA
Practice address
10775 Pioneer TRL
Suite 108
Truckee, CA 96161-0232
Phone
(530) 545-2461
NPI assigned
Apr 13, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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 16454 CA Primary

Addresses

Primary practice location

10775 Pioneer TRL
Suite 108
Truckee, CA 96161-0232

Mailing address

11495 Silverfir Dr
Truckee, CA 96161-3210
Phone (530) 545-2461

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

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1831585249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11495 SILVERFIR DR",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961613210",
            "telephone_number": "530-545-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10775 PIONEER TRL",
            "address_2": "SUITE 108",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610232",
            "telephone_number": "530-545-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISIER",
        "first_name": "SHAWN",
        "credential": "ART, CMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "16454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truckee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.