Active NPI
Lizabeth Ann Smull, L.M.T.
- Massage Therapist
- Ellicott City, MD
National Provider Identifier
1013237643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- M00481
- Practice address
- 5022 Dorsey Hall Dr
Suite 201
Ellicott City, MD 21042-7829 - Phone
- (410) 997-1808
- NPI assigned
- Jun 5, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | M00481 | MD | Primary |
Addresses
Primary practice location
5022 Dorsey Hall Dr
Suite 201
Ellicott City, MD 21042-7829
Mailing address
9465 Catfeet CT
Columbia, MD 21045-3209
Phone (410) 458-4869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M00481 | MD | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275696000000",
"number": "1013237643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9465 CATFEET CT",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210453209",
"telephone_number": "410-458-4869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5022 DORSEY HALL DR",
"address_2": "SUITE 201",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427829",
"telephone_number": "410-997-1808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMULL",
"first_name": "LIZABETH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-05",
"last_updated": "2010-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "M00481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.