Justin Smith, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA96889 Issued in FL

Practice address

1680 NW 1St Way
Pompano Beach, FL 33060-5214

Phone

(803) 634-8985

NPI assigned

Mar 29, 2021

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

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1285211763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 NW 1ST WAY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330605214",
            "telephone_number": "803-634-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 NW 1ST WAY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330605214",
            "telephone_number": "803-634-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA96889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Smith
• Danielle Nicole Smith
• Gregory R. Smith, HS
• Jamie Melissa Smith, BCBA
• Janelle Renae Smith
• Kristen Smith
• Kristina Smith
• Latoya Renee Smith, PTA
• Lindsay Smith
• Michelle Akila Smith

• Massage Therapist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.