Individual provider Active NPI

Shawn McConathy, LMT CMT

  • Massage Therapist
  • Greenville, SC
National Provider Identifier
1871905471
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAS 9765 Issued in SC
Practice address
319 Wade Hampton Blvd
Greenville, SC 29609-5738
Phone
(864) 365-6156
NPI assigned
May 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X MT009659 GA
Massage Therapist 225700000X MAS 9765 SC Primary
Massage Therapist 225700000X MT009659 GA

Addresses

Primary practice location

319 Wade Hampton Blvd
Greenville, SC 29609-5738

Mailing address

3 McDonald St
Apt. 1
Greenville, SC 29609-5664
Phone (864) 430-3928

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
MT009659GAMDMassage Therapist
MAS 9765SCMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1401408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1871905471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MCDONALD ST",
            "address_2": "APT. 1",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296095664",
            "telephone_number": "864-430-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 WADE HAMPTON BLVD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296095738",
            "telephone_number": "864-365-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONATHY",
        "first_name": "SHAWN",
        "credential": "LMT CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-30",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "GA",
            "license": "MT009659",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "MAS 9765",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT009659",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.