Elliott Isaac Smith, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT122956 Issued in TX

Practice address

125 N Kenazo Ave
Ste I & J
Horizon City, TX 79928-5404

Phone

(915) 245-9741

NPI assigned

Feb 16, 2017

Sex

Male

Sole proprietor

No

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

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

• Mind Body & Soul Massage

  • Massage Therapist
  • Horizon City, TX
  • NPI 1043720733
  NPD (past)

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1194264655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 VALLE DE BRAVO PL",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799284700",
            "telephone_number": "915-245-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N KENAZO AVE",
            "address_2": "STE I & J",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799285404",
            "telephone_number": "915-245-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELLIOTT",
        "middle_name": "ISAAC",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT122956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helena Asantewaa Sennessie
• Christopher Ray Sepulveda Jr.
• Crystal Sherawn Simon
• Sinai Mountain Homecare
• Smile Luv Dental of El Paso PLLC
• Felisha Lea Smith, LMT
• Meagan Smith, PT, DPT
• SNM Home Improvements LLC
• Spring Life Provider Care, LLC
• David Edward Stout, OPTICIAN

• Massage Therapist in Horizon City, TX
• Providers in Horizon City, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.