Stephen Smith, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA5866 Issued in FL

Practice address

2821 E Commercial Blvd
Suite 100
Fort Lauderdale, FL 33308-4216

Phone

(954) 776-1902

Fax

(954) 776-1930

NPI assigned

Aug 8, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stephen R Smith Professional name

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": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407456000000",
    "number": "1184033680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 E COMMERCIAL BLVD",
            "address_2": "SUITE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084216",
            "telephone_number": "954-776-1902",
            "fax_number": "954-776-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 E COMMERCIAL BLVD",
            "address_2": "SUITE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084216",
            "telephone_number": "954-776-1902",
            "fax_number": "954-776-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHEN",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA5866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHEN",
            "last_name": "SMITH",
            "middle_name": "R",
            "credential": "L.M.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Paul M Smith, LCSW
• Pierre M Smith, DMD
• Shannon Smith
• Shulamith Valcina Smith
• Sonya Yolanda Smith
• Suzanne Forum Smith, CRNA
• Taylor Smith
• Teneha Smith, NP
• Tiersa Lachelle Smith
• Todd Smith, PA

• Massage Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.