Individual provider Active NPI

Samantha Reggi Shea, MT

  • Massage Therapist
  • Winona, MN
National Provider Identifier
1972119790
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
619 Huff St Ste 1
Winona, MN 55987-3887
Phone
(507) 454-7870
Fax
(507) 454-7778
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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 Primary

Addresses

Primary practice location

619 Huff St Ste 1
Winona, MN 55987-3887

Mailing address

619 Huff St Ste 1
Winona, MN 55987-3887
Phone (507) 454-7870

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
Credentials
Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Health Chiropractic and Wellness, Inc. CurrentSince Sep 20, 2020 Accepting new patients

Locations

619 Huff St
Ste 1
Winona, MN 55987
Phone (507) 454-7870

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": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1972119790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 HUFF ST STE 1",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873887",
            "telephone_number": "507-454-7870",
            "fax_number": "507-454-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 HUFF ST STE 1",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873887",
            "telephone_number": "507-454-7870",
            "fax_number": "507-454-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "SAMANTHA",
        "middle_name": "REGGI",
        "name_prefix": "Mrs.",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.