Tammy Michelle Smith, MANUAL THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

4007 Old Seward Hwy Ste 1000
Anchorage, AK 99503-6065

Phone

(907) 646-7653

NPI assigned

Nov 15, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1417460254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 OLD SEWARD HWY STE 1000",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036065",
            "telephone_number": "907-646-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 OLD SEWARD HWY STE 1000",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036065",
            "telephone_number": "907-646-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TAMMY",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "MANUAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "47-2106017",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC",
            "identifier": "4721206017",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Denise Smith, P.A.-C
• Sharon W Smith, MD
• Sonya Camille Smith, MA, LPC, CDCI
• Stephanie L Smith, B.S.
• Steven L Smith
• Tanya Marie Smith, PT SCD COMT
• Tina Jean Smith, PA-C
• Tyler Wilson Smith, MD
• Viola Smith
• Zoe P Smith

• Massage Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.