Individual provider Active NPI

Ian Smolinsky, LMT, EMT-P

  • Massage Therapist
  • Orange, CT
National Provider Identifier
1497417075
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
10425 Issued in CT
Practice address
663 Orange Center Rd Unit 2
Orange, CT 06477-2400
Phone
(475) 731-8279
NPI assigned
Oct 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 2173 CT
Massage Therapist 225700000X 16732 MA
Massage Therapist 225700000X 10425 CT Primary

Addresses

Primary practice location

663 Orange Center Rd Unit 2
Orange, CT 06477-2400

Mailing address

663 Orange Center Rd Unit 2
Orange, CT 06477-2400
Phone (475) 731-8279

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
Credentials
Emergency Medical Technician - Paramedic

State licenses

LicenseStateTypeSpecialty
2173CTMDChiropractor
16732MAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1497417075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 ORANGE CENTER RD UNIT 2",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772400",
            "telephone_number": "475-731-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 ORANGE CENTER RD UNIT 2",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772400",
            "telephone_number": "475-731-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLINSKY",
        "first_name": "IAN",
        "credential": "LMT, EMT-P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "CT",
            "license": "2173",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "16732",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CT",
            "license": "10425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.