Active NPI
Shannon Louise Sexton Potter, L.M.T.
- Massage Therapist
- Putnam, CT
National Provider Identifier
1861834301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 29011535
- Practice address
- 58 Pomfret St
Putnam, CT 06260-1888 - Phone
- (603) 315-0525
- NPI assigned
- Jul 25, 2013
- 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 | 29011535 | CT | Primary |
Addresses
Primary practice location
58 Pomfret St
Putnam, CT 06260-1888
Mailing address
31 Canterbury Rd
Brooklyn, CT 06234-1901
Phone (603) 315-0525
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29011535 | Other | CT | CT |
| MT01810 | Other | RI | LICENSE |
Other names 1
- Shannon Louise Sexton
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 |
|---|---|---|---|
| 29011535 | CT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1861834301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 CANTERBURY RD",
"city": "BROOKLYN",
"state": "CT",
"postal_code": "062341901",
"telephone_number": "603-315-0525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 POMFRET ST",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062601888",
"telephone_number": "603-315-0525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEXTON POTTER",
"first_name": "SHANNON",
"middle_name": "LOUISE",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-25",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CT",
"license": "29011535",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT",
"identifier": "29011535",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MT01810",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "SEXTON",
"middle_name": "LOUISE",
"credential": "L.M.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Putnam, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.