Active NPI
Melissa Smith, LMT
- Massage Therapist
- Punta Gorda, FL
National Provider Identifier
1396627196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA69146
- Practice address
- 92 Vivante Blvd
Punta Gorda, FL 33950-2011 - Phone
- (941) 412-6044
- NPI assigned
- Jul 23, 2025
- 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 | MA69146 | FL | Primary |
Addresses
Primary practice location
92 Vivante Blvd
Punta Gorda, FL 33950-2011
Mailing address
1401 Amelia Ave
Punta Gorda, FL 33980-2285
Phone (941) 412-6044
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 |
|---|---|---|---|
| MA69146 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1396627196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 AMELIA AVE",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339802285",
"telephone_number": "941-412-6044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 VIVANTE BLVD",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339502011",
"telephone_number": "941-412-6044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MELISSA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-23",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA69146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.