Shawn Lockridge, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

019168 Issued in NY

Practice address

121 Pulaski Rd
Kings Park, NY 11754-2539

Phone

(631) 455-9347

NPI assigned

Nov 2, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1831854108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 QUARRYSTONE LN",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531479",
            "telephone_number": "631-522-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 PULASKI RD",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542539",
            "telephone_number": "631-455-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKRIDGE",
        "first_name": "SHAWN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-02",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "019168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Donna Leone
• Sarah Tatiana Li, CRNA
• Gina Marie Lipari, RPH
• Joseph Sebastian Lobianco, DPM
• Joshua Lennon Patrick Locantore, LCSW
• Annmarie Lohmann-Kreischer, LPN
• Kerry Ann Lonardo, MA CCC-SLP
• Randie Jill London, PSY.D.
• John Charles Luna, LMSW
• Brandon Ryan Luoni

• Massage Therapist in Kings Park, NY
• Providers in Kings Park, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.