Active NPI
Alita Smith
- Massage Therapist
- Wilbur, WA
National Provider Identifier
1376907022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60623285
- Practice address
- 109 N Main Ave
Wilbur, WA 99185 - Phone
- (509) 647-5500
- NPI assigned
- Apr 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60623285 | WA | Primary |
Addresses
Primary practice location
109 N Main Ave
Wilbur, WA 99185
Mailing address
PO Box 68
Wilbur, WA 99185-0068
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60623285 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coulee Chiropractic, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Coulee City, WA
- NPI 1023208519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460073600000",
"number": "1376907022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 68",
"city": "WILBUR",
"state": "WA",
"postal_code": "991850068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N MAIN AVE",
"city": "WILBUR",
"state": "WA",
"postal_code": "99185",
"telephone_number": "509-647-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ALITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-08",
"last_updated": "2016-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60623285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilbur, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.