Shannon Beth Booth, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

022059 Issued in NY

Practice address

1223 Military Rd
Kenmore, NY 14217-1832

Phone

(716) 807-2221

Fax

(716) 693-8923

NPI assigned

May 19, 2009

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

State licenses

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1992930028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 STENZIL ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141206517",
            "telephone_number": "716-807-2221",
            "fax_number": "716-693-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 MILITARY RD",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171832",
            "telephone_number": "716-807-2221",
            "fax_number": "716-693-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "SHANNON",
        "middle_name": "BETH",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "022059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Bobbett
• Annette M Bobsein, R.PH.
• Heather Bonanno
• Marlene Booker
• Aletia Lynn Boone, OTR/L
• William Borchert
• Andrea Elizabeth Born-Horowitz, LCSW
• Lindsay Bota, FNP
• Sela Emily Bove
• Jessica Lynn Brady, MS OTR/L

• Massage Therapist in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.