Individual provider Active NPI

Lisa J Spears, LMT

  • Massage Therapist
  • Madison, AL
National Provider Identifier
1487906178
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
LMT2046 Issued in AL
Practice address
44 Hughes Rd
Suite 1050
Madison, AL 35758-3045
Phone
(256) 325-5400
Fax
(256) 325-5469
NPI assigned
Oct 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X LMT2046 AL Primary

Addresses

Primary practice location

44 Hughes Rd
Suite 1050
Madison, AL 35758-3045

Mailing address

44 Hughes Rd
Suite 1050
Madison, AL 35758-3045
Phone (256) 325-5400

Other identifiers 1

IdentifierTypeStateIssuer
LMT2046OtherALSTATE LICENSE

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

LicenseStateTypeSpecialty
LMT2046ALMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1487906178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HUGHES RD",
            "address_2": "SUITE 1050",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583045",
            "telephone_number": "256-325-5400",
            "fax_number": "256-325-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HUGHES RD",
            "address_2": "SUITE 1050",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583045",
            "telephone_number": "256-325-5400",
            "fax_number": "256-325-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "LISA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AL",
            "license": "LMT2046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LMT2046",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.