Individual provider Active NPI

Amanda R. Kucharski Smith, L.M.T., C.N.M.T.

  • Massage Therapist
  • Denver, CO
National Provider Identifier
1366631103
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0007463 Issued in CO
Practice address
4411 Yates St Unit 105
Denver, CO 80212-2450
Phone
(970) 946-1323
NPI assigned
Oct 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT.0007463 CO Primary

Addresses

Primary practice location

4411 Yates St Unit 105
Denver, CO 80212-2450

Mailing address

4411 Yates St Unit 105
Denver, CO 80212-2450
Phone (970) 946-1323

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

LicenseStateTypeSpecialty
MT.0007463COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1366631103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 YATES ST UNIT 105",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122450",
            "telephone_number": "970-946-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 YATES ST UNIT 105",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122450",
            "telephone_number": "970-946-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHARSKI SMITH",
        "first_name": "AMANDA",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "L.M.T., C.N.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0007463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.