Matthew Smith, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

80573 Issued in CA

Practice address

1530A 5TH St
Berkeley, CA 94710-1713

Phone

(510) 725-1179

NPI assigned

May 9, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1487390860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 MCCLURE ST APT 3",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093561",
            "telephone_number": "301-461-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530A 5TH ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101713",
            "telephone_number": "510-725-1179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "870 Market St Ste 883",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941022910",
            "country_code": "US",
            "telephone_number": "415-362-6274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MATTHEW",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "80573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Smith, CNM
• Julia Ann Smith, LPCC
• Kameka Smith, RAS INTERN
• Kathleen Elizabeth Smith, MFT
• Laurence Luther Smith
• Megan Kelly Smith, MEGAN KELLY SMITH
• Melena Smith
• Patricia Baldwin Smith, RN
• Peter Jordan Smith, L.AC.
• Sean Christopher Smith

• Massage Therapist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Massage Therapist in California

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

Verify at the official NPI Registry.