Elijah Lee Smith, LMT / MA

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

61386146 Issued in WA

Practice address

3517 Stone Way N
Seattle, WA 98103-8923

Phone

(510) 915-1903

NPI assigned

Oct 24, 2023

Last updated

Oct 24, 2023By the provider in NPPES

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1538931472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5524 16TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053415",
            "telephone_number": "510-915-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 STONE WAY N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038923",
            "telephone_number": "510-915-1903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2946 Eastlake Ave E",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981023010",
            "country_code": "US",
            "telephone_number": "206-324-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIJAH",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LMT / MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61386146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Warren Smith, MD
• Derreck Smith
• Dinah Susan Smith, RPH
• Donna L Smith, MD
• Douglas G Smith, MD
• Elizabeth Smith, MS, BCBA, LBA
• Emily Smith
• Emily Joan Smith
• Eric Smith
• Erin Elizabeth Smith, MSW, LICSW

• Massage Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.