Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922405851 Individual Practitioner Female Practitioner

Kelley Shaughnessy , LMT

Massage Therapist • Boardman, OH

Professional Overview & Biography Verified Profile Summary

Kelley Shaughnessy, LMT is a registered healthcare professional specializing in Massage Therapist in Boardman, OH. Practice services are available at 7620 SOUTHERN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7620 Southern Blvd
Ste 3

Boardman, OH 445125667

Telephone 3309659330
Fax 3309659308
Associated Practice Facility / Clinic
🏢 Southwoods Rehabilitation Llc Facility NPI 1528477288

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Boardman, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Boardman, OH (1983 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License OH 33.013613-S

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Lmt
33.013613-S (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
Carla Nicholas , OT

Occupational Therapist

NPI 1104947449

Occupational Therapist

Kimberly Macdonald

Speech-Language Pathologist

NPI 1164655122
Shana Dipiero , ST

Speech-Language Pathologist

NPI 1184852170
Sheri Owen , PT

Physical Therapist

NPI 1215291430

Physical Therapist

Emmanuelle Genna , PT

Physical Therapist

NPI 1316190036

Physical Therapist

Kenneth Johnson , PT

Physical Therapist

NPI 1316254725

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2016

Registered at 7620 SOUTHERN BLVD, STE 3, BOARDMAN, OH 445125667 (Tel: 3309659330)

📍
Updated Business Mailing Address November 30, 2016

Registered at 1397 S CANFIELD NILES RD, UNIT 1, AUSTINTOWN, OH 445154084 (Tel: 3309530129)

👤
Provider Name / Credentials Updated November 30, 2016

Recorded as KELLEY SHAUGHNESSY, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2016

Massage Therapist (License #33.013613-S in OH)

🟢
Initial NPI Registration & Enumeration November 20, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922405851
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2014
Last Update: November 30, 2016
Sole Proprietor: No

Mailing Address

1397 S Canfield Niles Rd, Unit 1

Austintown, OH 445154084

Phone: 3309530129

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.