Shavon Kanise Gallman, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

028284 Issued in NY

Practice address

45 W 45TH St
New York, NY 10036-4602

Phone

(347) 763-7900

NPI assigned

May 25, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1871168492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 COLUMBUS AVE UNIT 230753",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100239629",
            "telephone_number": "404-398-3015",
            "fax_number": "315-897-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W 45TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364602",
            "telephone_number": "347-763-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Saint Nicholas Ave Apt 5H",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100275340",
            "country_code": "US",
            "telephone_number": "404-398-3015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLMAN",
        "first_name": "SHAVON",
        "middle_name": "KANISE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "028284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Zeel",
            "affiliation": "N",
            "endpointDescription": "Data input will be taken electronically via Zeel device before vaccine is administered by nurse",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "45 W 45th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100364602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lillian Gallina, LMSW
• Jennifer Gallinaro, PT
• Zane Gallinger, MD
• Stephanie Marie Gallitano, M.D.
• Matthew Ryan Gallitto, MD, PHD
• Alyssa Gallo
• Brianne Gallo
• Cara Aubrey Gallo, LCAT, BC-DMT
• Clara Gallo, FNP-BC
• Isabella Gallo

• Massage Therapist in New York, NY
• Providers in New York, 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 25, 2021; 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.