KELLEY SHAUGHNESSY (NPI# 1922405851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922405851 |
| Entity Type | Individual |
| Full Name | KELLEY SHAUGHNESSY |
| Credential | LMT |
| Practice Address |
7620 Southern Blvd Ste 3 Boardman OH 44512-5667 |
| Mailing Address |
1397 S Canfield Niles Rd Unit 1 Austintown OH 44515-4084 |
| Practice Telephone | 3309659330 |
| Practice Fax Number | 3309659308 |
| Mailing Telephone | 3309530129 |
| Mailing Fax Number | 3309530650 |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2016-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 33.013613-S | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LMT | 33.013613-S | 01 |
| Street Address |
7620 SOUTHERN BLVD STE 3 |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-5667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316937824 | Ryan R Tessean | Physical Therapist | 7620 Southern Blvd, Ste 3, Boardman, OH 44512-5667 | 2005-10-26 |
| 1386005544 | Diana Wachsberger | Speech-Language Pathologist | 7620 Southern Blvd, Ste 3, Boardman, OH 44512-5667 | 2016-03-16 |
| 1528477288 | Southwoods Rehabilitation LLC | Occupational Therapist | 7620 Southern Blvd, Suite 3, Boardman, OH 44512-5667 | 2014-08-07 |
| 1598194615 | Janis Cope | Occupational Therapist | 7620 Southern Blvd, Ste 3, Boardman, OH 44512-5667 | 2013-11-08 |
| 1477891596 | Jeanne Cotters Monroe | Speech-Language Pathologist | 7620 Southern Blvd, Ste 3, Boardman, OH 44512-5667 | 2013-01-24 |
| 1215291430 | Sheri Owen | Physical Therapist | 7620 Southern Blvd, Ste 3, Boardman, OH 44512-5667 | 2012-07-03 |
| 1417226739 | Janice Szari | Speech-Language Pathologist | 7620 Southern Blvd, Ste 3, Boardman, OH 44512-5667 | 2011-12-15 |
| 1548543499 | Wendy Kennedy | Speech-Language Pathologist | 7620 Southern Blvd, Ste 3, Boardman, OH 44512-5667 | 2011-09-27 |
| 1770866626 | Tracy Morton | Speech-Language Pathologist | 7620 Southern Blvd, Ste 3, Boardman, OH 44512-5667 | 2011-09-27 |
| 1679867519 | Corinna Griffin | Speech-Language Pathologist | 7620 Southern Blvd, Ste 3, Boardman, OH 44512-5667 | 2011-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134294721 | Michael F. Hritz | Massage Therapist | 7098 Lockwood Blvd, Boardman, OH 44512-4017 | 2006-11-21 |
| 1760038517 | Christina Eaton | Massage Therapist | 7645 Market St, Boardman, OH 44512-6098 | 2019-08-16 |
| 1407322001 | James Taylor | Massage Therapist | 7747 South Ave, Boardman, OH 44512-5726 | 2018-10-22 |
| 1093163362 | Emily Brothers Cope | Massage Therapist | 1265 Boardman Canfield Rd, Boardman, OH 44512-4004 | 2016-05-27 |
| 1538544994 | Ohio Sports and Spine Institute | Massage Therapist | 1265 Boardman Canfield Rd, Boardman, OH 44512-4004 | 2015-07-28 |
| 1871935221 | Samuel Joseph Lucurell | Massage Therapist | 755 Boardman Canfield Rd, Southbridge West Bld. P Unit 1, Boardman, OH 44512-4300 | 2013-07-26 |
| 1427398072 | Brent Baisch | Massage Therapist | 755 Boardman Canfield Rd, Suite P1, Boardman, OH 44512-4300 | 2013-02-19 |
| 1760763619 | Kimberly Heckman | Massage Therapist | 7510 Market St, Boardman, OH 44512-6021 | 2011-09-06 |
| 1891992566 | Shannon L Smith | Massage Therapist | 850 Mckay Ct, Boardman, OH 44512-5745 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639917 | Resha L Mcclendon | Massage Therapist | 132 Dorchester Sq S Ste 201, Westerville, OH 43081-7400 | 2020-11-08 |
| 1528669280 | George B Mcgill IIi | Massage Therapist | 773 Elm St, Groveport, OH 43125-1242 | 2020-11-07 |
| 1114528296 | James Aaron Brooks | Massage Therapist | 806 Picket Pl, Dayton, OH 45433-1325 | 2020-11-04 |
| 1457951188 | David Michael Riemer | Massage Therapist | 455 Delta Ave Ste 307, Cincinnati, OH 45226-1127 | 2020-10-30 |
| 1801496716 | Jessica Marie Adkins | Massage Therapist | 7570 Allegheny Dr, Concord Township, OH 44060-7206 | 2020-10-29 |
| 1629677380 | Camille Mathis | Massage Therapist | 936 Bryden Rd Apt 3e, Columbus, OH 43205-1840 | 2020-10-22 |
| 1558960757 | Zach Thomas Lindner | Massage Therapist | 6790 Harrison Ave Apt 25, Cincinnati, OH 45247-3276 | 2020-10-20 |
| 1023617313 | Makayla Ammons | Massage Therapist | 3829 Potomac St, Groveport, OH 43125-9471 | 2020-10-19 |
| 1578162855 | Kelsey Coffey | Massage Therapist | 2400 Niles Cortland Rd Se Ste 5, Warren, OH 44484-3869 | 2020-10-19 |
| 1730787722 | Janet Dianne Soto | Massage Therapist | 5317 Bethel Park Dr, Columbus, OH 43235-7125 | 2020-10-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.