Individual provider Active NPI

Imelda Tipanero Alumbro Shade

  • Massage Therapist
  • Macungie, PA
National Provider Identifier
1871425843
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG012105 Issued in PA
Practice address
6465 Village LN Ste 11
Macungie, PA 18062-8474
Phone
(484) 225-5988
NPI assigned
Jun 2, 2026
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MSG012105 PA Primary

Addresses

Primary practice location

6465 Village LN Ste 11
Macungie, PA 18062-8474

Mailing address

6465 Village LN Ste 11
Macungie, PA 18062-8474
Phone (484) 225-5988

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

LicenseStateTypeSpecialty
MSG012105PAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1871425843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 VILLAGE LN STE 11",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180628474",
            "telephone_number": "484-225-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 VILLAGE LN STE 11",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180628474",
            "telephone_number": "484-225-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALUMBRO SHADE",
        "first_name": "IMELDA",
        "middle_name": "TIPANERO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG012105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macungie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.