Active NPI
Marci Shannon Weseman, LMT
- Massage Therapist
- Okeechobee, FL
National Provider Identifier
1851600902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA59492
- Practice address
- 3936 SE 18TH Ter
Okeechobee, FL 34974-7355 - Phone
- (863) 634-4815
- NPI assigned
- Oct 6, 2010
- Last updated
- Oct 6, 2010
- 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 | MA59492 | FL | Primary |
Addresses
Primary practice location
3936 SE 18TH Ter
Okeechobee, FL 34974-7355
Mailing address
11459 NE 3Rd Cir
Okeechobee, FL 34972-8372
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA59492 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286323200000",
"number": "1851600902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11459 NE 3RD CIR",
"city": "OKEECHOBEE",
"state": "FL",
"postal_code": "349728372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3936 SE 18TH TER",
"city": "OKEECHOBEE",
"state": "FL",
"postal_code": "349747355",
"telephone_number": "863-634-4815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESEMAN",
"first_name": "MARCI",
"middle_name": "SHANNON",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-06",
"last_updated": "2010-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA59492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Okeechobee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.