Active NPI
Andrew Paul Smith, LMT
- Massage Therapist
- Wilsonville, OR
National Provider Identifier
1427789528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 26357
- Practice address
- 28975 SW Orleans Ave Apt 305
Wilsonville, OR 97070-7357 - Phone
- (760) 793-3046
- NPI assigned
- Jun 20, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 26357 | OR | Primary |
Addresses
Primary practice location
28975 SW Orleans Ave Apt 305
Wilsonville, OR 97070-7357
Mailing address
28975 SW Orleans Ave Apt 305
Wilsonville, OR 97070-7357
Phone (760) 793-3046
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | smitha.7420@gmail.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 26357 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1427789528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28975 SW ORLEANS AVE APT 305",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970707357",
"telephone_number": "760-793-3046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28975 SW ORLEANS AVE APT 305",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970707357",
"telephone_number": "760-793-3046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ANDREW",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-20",
"last_updated": "2022-06-20",
"certification_date": "2022-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "26357",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "smitha.7420@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "Soap",
"address_1": "28975 SW Orleans Ave Apt 305",
"city": "Wilsonville",
"state": "OR",
"country_code": "US",
"postal_code": "970707357",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.