Active NPI
Ashley Nicole Smith, LMT
- Massage Therapist
- Woodinville, WA
National Provider Identifier
1578029112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60340092
- Practice address
- 17618 140TH Ave NE
Woodinville, WA 98072-6800 - Phone
- (425) 402-9772
- NPI assigned
- Feb 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60340092 | WA | Primary |
Addresses
Primary practice location
17618 140TH Ave NE
Woodinville, WA 98072-6800
Mailing address
506 1St St
Sultan, WA 98294-9796
Phone (425) 309-5162
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60340092 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevate Physical Rehabilitation Group PLLC | Past | Accepting new patients | |
| Premier Physical Rehabilitation LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Woodinville, WA
- NPI 1144735721
-
- Physical Therapist
- Woodinville, WA
- NPI 1437349198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1578029112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 1ST ST",
"city": "SULTAN",
"state": "WA",
"postal_code": "982949796",
"telephone_number": "425-309-5162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17618 140TH AVE NE",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980726800",
"telephone_number": "425-402-9772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ASHLEY",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-19",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60340092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodinville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.