Scott Keith Smith, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

1483 Loma Sola CT
Upland, CA 91786-2849

Phone

(213) 884-3619

NPI assigned

Mar 17, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1346040664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 LOMA SOLA CT",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862849",
            "telephone_number": "213-884-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 LOMA SOLA CT",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862849",
            "telephone_number": "213-884-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SCOTT",
        "middle_name": "KEITH",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "40374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Smith
• Jamie Roshonnda Smith
• Jason M Smith, P.T.
• Jennifer Lynn Smith
• Ryan Gregory Smith, MD
• Stacy Lynn Smith, CADC-II
• Willie Smith, 14558-RAC
• Joshua James Snook
• Ethan Leroy Snyder, PA
• Jimmy K. So, OD

• Massage Therapist in Upland, CA
• Providers in Upland, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.