Organization Active NPI

Smith Massage Therapy

  • Massage Therapist
  • Brentwood, CA
National Provider Identifier
1629476528
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
52936 Issued in CA
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

Updated by the provider on Dec 9, 2014

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)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.