Active NPI
Tia M Smith, LMP
- Massage Therapist
- Federal Way, WA
National Provider Identifier
1053537639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA0020390
- Practice address
- 32123 1St Ave S
Suite a-4
Federal Way, WA 98003-5721 - Phone
- (253) 874-5008
- Fax
- (253) 874-5024
- NPI assigned
- Apr 18, 2007
- 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 | MA0020390 | WA | Primary |
Addresses
Primary practice location
32123 1St Ave S
Suite a-4
Federal Way, WA 98003-5721
Mailing address
1027 SW 116TH St
Seattle, WA 98146-3578
Phone (206) 488-3784
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 |
|---|---|---|---|
| MA0020390 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah Kloby DC PLLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477612800000",
"number": "1053537639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1027 SW 116TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981463578",
"telephone_number": "206-488-3784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32123 1ST AVE S",
"address_2": "SUITE A-4",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980035721",
"telephone_number": "253-874-5008",
"fax_number": "253-874-5024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TIA",
"middle_name": "M",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2016-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA0020390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.