Kelsey Marie Smith, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

33.024250 Issued in OH

Practice address

5 N Main St
Englewood, OH 45322-1326

Phone

(937) 890-8660

NPI assigned

Jul 27, 2020

Last updated

Jul 27, 2020By the provider in NPPES

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Miami Valley Mt LLC

  dba Miami Valley Massage Therapy

  • Clinic/Center
  • Englewood, OH
  • NPI 1609409317
  NPD

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1114536190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BROOKWOOD DR",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222461",
            "telephone_number": "937-972-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N MAIN ST",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453221326",
            "telephone_number": "937-890-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELSEY",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.024250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quinlan Symone Singleton
• Sister Home Health Care Provider LLC (Sister Home Health Care ProvidersLLC)
• Christopher James Sistrunk
• SM Medical LLC
• Chance Lamar Smith
• Maria L Smith
• Nicholas Smith
• Nicole Amber Smith, L.P.N.
• Regina Sowah, STNA
• Kristina Marie Stallard, MS, RN, NP-C

• Massage Therapist in Englewood, OH
• Providers in Englewood, OH by specialty
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.