Breanna Shawley, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

3014 Pleasant Valley Blvd # 2
Altoona, PA 16602-4491

Phone

(814) 944-8483

NPI assigned

Mar 31, 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

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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1952989840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 PLEASANT VALLEY BLVD # 2",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 PLEASANT VALLEY BLVD # 2",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024491",
            "telephone_number": "814-944-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWLEY",
        "first_name": "BREANNA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Shandor, LSW
• Hany Shanoudy
• Dennisha Michelle Shaw-Gonzales, LSW
• Cynthia Ann Shaw, RN
• Jaime Deana Shaw, MSN FNP-BC
• Keith Lewis Shawley, BS
• Melinda Laurel Shea, LCSW
• Justin Shearman, OD
• Maura Shearman, MOT, OTR/L
• Alicia Jean Shedlock, CRNP

• Massage Therapist in Altoona, PA
• Providers in Altoona, PA by specialty
• Massage Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.