Individual provider Active NPI

Mellissa Leeanne Smith

  • Massage Therapist
  • Raleigh, NC
National Provider Identifier
1568373421
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
22853 Issued in NC
Practice address
13200 Falls of Neuse Rd Ste 127
Raleigh, NC 27614-8239
Phone
(252) 626-8174
NPI assigned
Sep 16, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 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 22853 NC Primary

Addresses

Primary practice location

13200 Falls of Neuse Rd Ste 127
Raleigh, NC 27614-8239

Mailing address

1100 Savannah Chase Cir Apt 208
Garner, NC 27529-5215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1568373421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SAVANNAH CHASE CIR APT 208",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275295215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13200 FALLS OF NEUSE RD STE 127",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148239",
            "telephone_number": "252-626-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MELLISSA",
        "middle_name": "LEEANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "22853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.