Individual provider Active NPI

Shelby Vennekotter, LMT

  • Massage Therapist
  • Mishawaka, IN
National Provider Identifier
1932057791
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT22508561 Issued in IN
Practice address
229 Red Coach Dr Ste 106
Mishawaka, IN 46545-3195
Phone
(574) 318-7800
Fax
(574) 318-7839
NPI assigned
Mar 18, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MT22508561 IN Primary

Addresses

Primary practice location

229 Red Coach Dr Ste 106
Mishawaka, IN 46545-3195

Mailing address

229 Red Coach Dr Ste 106
Mishawaka, IN 46545-3195
Phone (574) 318-7800

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
MT22508561INMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Joint Associates of Mishawaka, Inc Single Specialty PastSince Apr 1, 2015 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1932057791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 RED COACH DR STE 106",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453195",
            "telephone_number": "574-318-7800",
            "fax_number": "574-318-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 RED COACH DR STE 106",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453195",
            "telephone_number": "574-318-7800",
            "fax_number": "574-318-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENNEKOTTER",
        "first_name": "SHELBY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT22508561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.