Active NPI
Tyisha Smith, LMT
- Massage Therapist
- Aspen Hill, MD
National Provider Identifier
1609408798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- M06149
- Practice address
- 13975 Connecticut Ave Ste 250
Aspen Hill, MD 20906-2900 - Phone
- (240) 730-4455
- NPI assigned
- Feb 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | M06149 | MD | Primary |
Addresses
Primary practice location
13975 Connecticut Ave Ste 250
Aspen Hill, MD 20906-2900
Mailing address
2116 Riding Crop Way
Windsor Mill, MD 21244-1286
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 |
|---|---|---|---|
| M06149 | MD | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743206400000",
"number": "1609408798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2116 RIDING CROP WAY",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212441286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13975 CONNECTICUT AVE STE 250",
"city": "ASPEN HILL",
"state": "MD",
"postal_code": "209062900",
"telephone_number": "240-730-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TYISHA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-07",
"last_updated": "2025-03-29",
"certification_date": "2025-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "M06149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aspen Hill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.