Active NPI
Stacy Allgood-Smith, LMT
- Massage Therapist
- Frederick, MD
National Provider Identifier
1174873004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- M04621
- Practice address
- 1780 N Market St
Unit B
Frederick, MD 21701-4300 - Phone
- (301) 378-0334
- NPI assigned
- Sep 18, 2012
- Last updated
- Sep 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | M04621 | MD | Primary |
Addresses
Primary practice location
1780 N Market St
Unit B
Frederick, MD 21701-4300
Mailing address
1715 W 7TH St Apt 7
Frederick, MD 21702-4285
Phone (240) 446-2210
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 |
|---|---|---|---|
| M04621 | MD | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RS Joint Venture LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1174873004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 W 7TH ST APT 7",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024285",
"telephone_number": "240-446-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 N MARKET ST",
"address_2": "UNIT B",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014300",
"telephone_number": "301-378-0334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLGOOD-SMITH",
"first_name": "STACY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-18",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "M04621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
- Traci Allen, OT
- Wesley Matthew Allen, ED. S.
- Allergy & Asthma Inc
- Allergy & Asthmacare, Inc. (Shalla H. Khan, MD)
- Allergy and Asthma Specialists of Frederick LLC (Allergy and Asthma Specialists of Frederick)
- Allied Counseling Group
- Allison Care Services Inc.
- Isaiah James Allison
- Jane Allman
- Ally Behavior LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.