Erica Stephanie Small

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0020185 Issued in CO

Practice address

2417 W Mulberry St
Fort Collins, CO 80521-3161

Phone

(310) 699-9717

NPI assigned

Mar 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1104576792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 W MULBERRY ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805213161",
            "telephone_number": "310-699-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 W MULBERRY ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805213161",
            "telephone_number": "310-699-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "ERICA",
        "middle_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0020185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Slow Bloom Therapy PLLC
• SLP Reeves LLC
• Kristina J Slunecka, NP
• Jewelie Sluzas, LPC
• Alexandra Small
• Zachery Small
• Smart Move Massage Therapy LLC
• Smartheart Medicine, PC
• Hannah Beth Smedley, PT
• Laura J Smeltzer, LCSW, MSW

• Massage Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.