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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHANE FAISON
NPI 1669377305
Massage Therapist in Raleigh, NC

Active since October 12, 2026
1112 SUFFOLK BLVD, RALEIGH, NC 27603(404) 919-2464 Get Directions Write a Review

NPPES record added: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shane Faison NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE FAISON (NPI 1669377305) is an individual massage therapist in Raleigh, North Carolina, licensed in North Carolina (16412) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1669377305
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameSHANE FAISON
Location Address1112 SUFFOLK BLVDRaleigh, NC 27603-2734
Mailing Address500 Chavis WayRaleigh, NC 27601-1954 · (404) 919-2464
Phone(404) 919-2464
Sole ProprietorYes
Enumeration DateOctober 12, 2026
NPPES CertifiedOctober 12, 2026
✔ NPI 1669377305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in NC · 16412
Definition
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.
1112 SUFFOLK BLVD, Raleigh, NC 27603
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Faison's NPI number?

The NPI number for Shane Faison is 1669377305. It was assigned to this individual provider in the NPPES registry on October 12, 2026.

Where is Shane Faison located?

Shane Faison practices at 1112 Suffolk Blvd, Raleigh, NC 27603. The listed phone number is (404) 919-2464.

What is Shane Faison's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Shane Faison was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.