Active NPI
Smith Massage Therapy
- Massage Therapist
- Brentwood, CA
National Provider Identifier
1629476528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 52936
- Legal business name
- SMITH MASSAGE THERAPY
- Practice address
- 191 Sand Creek Rd
Suite 202-B
Brentwood, CA 94513-2215 - Phone
- (925) 812-0344
- NPI assigned
- Dec 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Louis E Smith, CMT
- Title
- Certified Massage Therapist
- Phone
- (925) 812-0344
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 52936 | CA | Primary |
Addresses
Primary practice location
191 Sand Creek Rd
Suite 202-B
Brentwood, CA 94513-2215
Mailing address
191 Sand Creek Rd
Suite 202-B
Brentwood, CA 94513-2215
Phone (925) 812-0344
Other names 1
- Smith Massage Therapy
National Provider Directory
National Provider DirectoryLocations
191 Sand Creek Rd
Ste 202B
Brentwood, CA 94513
Phone (925) 812-0344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418083200000",
"number": "1629476528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 SAND CREEK RD",
"address_2": "SUITE 202-B",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945132215",
"telephone_number": "925-812-0344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 SAND CREEK RD",
"address_2": "SUITE 202-B",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945132215",
"telephone_number": "925-812-0344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMITH MASSAGE THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-09",
"last_updated": "2014-12-09",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "LOUIS",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CERTIFIED MASSAGE THERAPIST",
"authorized_official_telephone_number": "925-812-0344",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CMT"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CA",
"license": "52936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Smith Massage Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brentwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.