Individual provider Active NPI

Sharda Daniels

  • Massage Therapist
  • Beachwood, OH
National Provider Identifier
1992319958
Registry record updated Sep 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.024791 Issued in OH
Practice address
24300 Chagrin Blvd Ste 312
Beachwood, OH 44122-5629
Phone
(216) 352-5335
NPI assigned
Sep 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 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 33.024791 OH Primary

Addresses

Primary practice location

24300 Chagrin Blvd Ste 312
Beachwood, OH 44122-5629

Mailing address

2096 Miramar Blvd
South Euclid, OH 44121-3169
Phone (216) 673-2345

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
33.024791OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Bodies LLC Massage Therapist CurrentSince Sep 13, 2020 Accepting new patients

Locations

24300 Chagrin Blvd
Ste 312
Beachwood, OH 44122
Phone (216) 216-3525

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": "1599350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599350400000",
    "number": "1992319958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2096 MIRAMAR BLVD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441213169",
            "telephone_number": "216-673-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24300 CHAGRIN BLVD STE 312",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225629",
            "telephone_number": "216-352-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "SHARDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-06",
        "last_updated": "2020-09-06",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.024791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.