Organization Active NPI

Maura Shannon Therapeutic Massage

  • Massage Therapist
  • Natick, MA
National Provider Identifier
1942656939
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2506 Issued in MA
Legal business name
MAURA SHANNON THERAPEUTIC MASSAGE
Doing business as
Maura Shannon
Practice address
51 Bacon St
Natick, MA 01760-2901
Phone
(508) 653-9008
NPI assigned
May 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Authorized official

Name
Ms. Maura L. Shannon, CLMT
Title
Medical Massage Practitioner
Phone
(508) 653-9008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 2506 MA Primary

Addresses

Primary practice location

51 Bacon St
Natick, MA 01760-2901

Mailing address

51 Bacon St
Natick, MA 01760-2901
Phone (508) 653-9008

Other names 1

  • Maura Shannon Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1942656939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 BACON ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602901",
            "telephone_number": "508-653-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 BACON ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602901",
            "telephone_number": "508-653-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURA SHANNON THERAPEUTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "MAURA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MEDICAL MASSAGE PRACTITIONER",
        "authorized_official_telephone_number": "508-653-9008",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CLMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "2506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maura Shannon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.