Lydia Kravitz, LMBT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

12751 Issued in SC

Practice address

5843 Ramsey St
Suite J
Fayetteville, NC 28311-3467

Phone

(910) 818-2513

NPI assigned

Oct 14, 2015

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": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1104297365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WILD IRIS CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292095734",
            "telephone_number": "910-733-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5843 RAMSEY ST",
            "address_2": "SUITE J",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283113467",
            "telephone_number": "910-818-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVITZ",
        "first_name": "LYDIA",
        "credential": "LMBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2023-09-27",
        "certification_date": "2022-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "5590",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "12751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariya L Koval, M.D.
• Lauren Kowalski
• John A Kozel, DO
• Sarah Elizabeth Kozlowski, MA, LPC, LCASA
• Andrea R Kramer
• Sarah Lynn Kress, MSW, LCSW
• Kenan Krim, PHARMD
• Danielle Kringlie, LBMT
• Kalpana Anantha Krishna, M.D.
• Aparna Krishnamurthy, PHARMD

• Massage Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.