Active NPI
Jarom Smith
- Massage Therapist
- Gunter, TX
National Provider Identifier
1043988330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 123212
- Practice address
- 694 Paxton Rd
Gunter, TX 75058-3120 - Phone
- (903) 821-3740
- NPI assigned
- Sep 1, 2021
- Last updated
- Sep 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 123212 | TX | Primary |
Addresses
Primary practice location
694 Paxton Rd
Gunter, TX 75058-3120
Mailing address
694 Paxton Rd
Gunter, TX 75058-3120
Phone (903) 821-3740
Other names 1
- Jarom Smith
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 |
|---|---|---|---|
| 123212 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1043988330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "694 PAXTON RD",
"city": "GUNTER",
"state": "TX",
"postal_code": "750583120",
"telephone_number": "903-821-3740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "694 PAXTON RD",
"city": "GUNTER",
"state": "TX",
"postal_code": "750583120",
"telephone_number": "903-821-3740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JAROM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-01",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "123212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAROM",
"last_name": "SMITH",
"credential": "LMT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Gunter, TX
- Nexus Medical Source, Inc.
- North America: Relational Neuro Somatic Experiencing Therapy, Education and Consultation Services
- NRG Medical Advantage
- Felicia Pacewicz, LPC-ASSOCIATE, NCC
- Parkhaven Dental Gunter PLLC
- Tammy Mae Smith, RN
- Lori Snook, M.A., CCC-SLP
- Wellness and Therapy Solutions (Gunter Physical Therapy)
- Whole Living LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.