Active NPI
Shawn Grisier, ART, CMT
- Massage Therapist
- Truckee, CA
National Provider Identifier
1831585249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 16454
- 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
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 | 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.