Aarisa Elysianne Smith, LMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

LMT 15732 Issued in OR

Practice address

443 NE Knott St # 6
Portland, OR 97212-3108

Phone

(760) 613-5022

NPI assigned

Mar 11, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1093013211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 SE WASHINGTON ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972225356",
            "telephone_number": "760-613-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 NE KNOTT ST # 6",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123108",
            "telephone_number": "760-613-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AARISA",
        "middle_name": "ELYSIANNE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-11",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA 60043874",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "OR",
            "license": "LMT 15732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Marie Smith-Hohnstein, LCSW, MSW
• Zane Allen Smith-Lundy, RN
• Lilyan Charlotte Russel Smith-Moore, M.ED.
• Kerri Smith-Slingerland, MSW, LCSW, CADC I, C
• Lynn A Smith-Stott, CDP
• Aaron Smith
• Aaron Todd Smith, M.D.
• Alex Smith, RN
• Alexander H Smith, PSYD
• Alexandra Smith, DNP

• Mechanotherapist in Portland, OR
• Providers in Portland, OR by specialty
• Mechanotherapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.