Individual provider Active NPI

Shawndrea Reeves, LMT

  • Massage Therapist
  • Columbus, OH
National Provider Identifier
1972341352
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.026234 Issued in OH
Practice address
67 Parsons Ave
Columbus, OH 43215-3978
Phone
(614) 222-0019
Fax
(614) 222-0021
NPI assigned
Jul 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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 33.026234 OH Primary

Addresses

Primary practice location

67 Parsons Ave
Columbus, OH 43215-3978

Mailing address

67 Parsons Ave
Columbus, OH 43215-3978
Phone (614) 222-0019

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
33.026234OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Chiropractic and Wellness Center CurrentSince Jul 21, 2024 Accepting new patients
Opulent Home Health Care LLC. PastSince Jul 21, 2024 Accepting new patients

Locations

67 Parsons Ave
Columbus, OH 43215
Phone (614) 222-0019

Organizations & group practices 2

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": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1972341352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 PARSONS AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153978",
            "telephone_number": "614-222-0019",
            "fax_number": "614-222-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 PARSONS AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153978",
            "telephone_number": "614-222-0019",
            "fax_number": "614-222-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "SHAWNDREA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.026234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.