Individual provider Active NPI

Samantha Rose Fertitta, LMT

  • Massage Therapist
  • Colorado Springs, CO
National Provider Identifier
1558271346
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0027488 Issued in CO
Practice address
5855 Lehman Dr Ste 100
Colorado Springs, CO 80918-3492
Phone
(719) 232-2892
NPI assigned
Sep 11, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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 0027488 CO Primary

Addresses

Primary practice location

5855 Lehman Dr Ste 100
Colorado Springs, CO 80918-3492

Mailing address

5855 Lehman Dr Ste 100
Colorado Springs, CO 80918-3492
Phone (719) 232-2892

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

NPI Registry JSON

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1558271346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 LEHMAN DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183492",
            "telephone_number": "719-232-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 LEHMAN DR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183492",
            "telephone_number": "719-232-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERTITTA",
        "first_name": "SAMANTHA",
        "middle_name": "ROSE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0027488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.