Active NPI
Rocky Lee Shankle, LMT
- Massage Therapist
- Fort Smith, AR
National Provider Identifier
1851419022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3469
- Practice address
- 3800 Rogers Ave
Ste2
Fort Smith, AR 72903-3046 - Phone
- (479) 783-0369
- NPI assigned
- Mar 27, 2007
- Last updated
- Jul 8, 2007
- 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 | 3469 | AR | Primary |
Addresses
Primary practice location
3800 Rogers Ave
Ste2
Fort Smith, AR 72903-3046
Mailing address
4801 Union Town Hwy
Van Buren, AR 72956
Phone (479) 471-1582
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 |
|---|---|---|---|
| Spinal Trauma Recovery Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851419022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 UNION TOWN HWY",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "72956",
"telephone_number": "479-471-1582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 ROGERS AVE",
"address_2": "STE2",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729033046",
"telephone_number": "479-783-0369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANKLE",
"first_name": "ROCKY",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AR",
"license": "3469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.