Active NPI
Lori Ebert, LMT
- Massage Therapist
- Smyrna, DE
National Provider Identifier
1033815162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0015203
- Practice address
- 229 N Main St Suite 102
Smyrna, DE 19977 - Phone
- (302) 270-1090
- NPI assigned
- Jan 31, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 101541 | FL | |
| Massage Therapist | 225700000X | 0015203 | DE | Primary |
Addresses
Primary practice location
229 N Main St Suite 102
Smyrna, DE 19977
Mailing address
229 N Main Street
Suite 102
Smyrna, DE 19977
Phone (302) 270-1090
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 |
|---|---|---|---|
| 0015203 | DE | MD | Massage Therapist |
| 101541 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1033815162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 N MAIN STREET",
"address_2": "SUITE 102",
"city": "SMYRNA",
"state": "DE",
"postal_code": "19977",
"telephone_number": "302-270-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 N MAIN ST SUITE 102",
"city": "SMYRNA",
"state": "DE",
"postal_code": "19977",
"telephone_number": "302-270-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBERT",
"first_name": "LORI",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-31",
"last_updated": "2024-05-30",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "101541",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "DE",
"license": "0015203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.