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

EDWIN CORNILIUS SHANNON
NPI 1881500825
Massage Therapist in Virginia Beach, VA

Active since August 20, 2026
3852 VIRGINIA BEACH BLVD STE B, VIRGINIA BEACH, VA 23452(757) 402-3092 Get Directions Write a Review

NPPES record added: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Edwin Cornilius Shannon NPPES

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

EDWIN CORNILIUS SHANNON (NPI 1881500825) is an individual massage therapist in Virginia Beach, Virginia, licensed in Virginia (0019019492) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1881500825
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameEDWIN CORNILIUS SHANNON
Location Address3852 VIRGINIA BEACH BLVD STE BVirginia Beach, VA 23452-2489
Mailing Address3852 Virginia Beach Blvd Ste BVirginia Beach, VA 23452-2489 · (757) 402-3092
Phone(757) 402-3092
Sole ProprietorYes
Enumeration DateAugust 20, 2026
NPPES CertifiedAugust 20, 2026
✔ NPI 1881500825 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 VA · 0019019492
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.
3852 VIRGINIA BEACH BLVD STE B, Virginia Beach, VA 23452
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CYNTHIA DEL CARMEN THOMAS
Massage Therapist
3852 VIRGINIA BEACH BLVD STE B
VIRGINIA BEACH, VA 23452
Virginia Beach City (757) 402-3092
BACK TO LIFE MASSAGE LLC
Massage Therapist
3852 VIRGINIA BEACH BLVD STE B
VIRGINIA BEACH, VA 23452
Virginia Beach City (757) 402-3092

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 Edwin Shannon's NPI number?

The NPI number for Edwin Shannon is 1881500825. It was assigned to this individual provider in the NPPES registry on August 20, 2026.

Where is Edwin Shannon located?

Edwin Shannon practices at 3852 Virginia Beach Blvd Ste B, Virginia Beach, VA 23452. The listed phone number is (757) 402-3092.

What is Edwin Shannon'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 Edwin Shannon was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.