Jennifer K Smith, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT11843 Issued in SD

Practice address

2525 W Main St Ste 311
Rapid City, SD 57702-2443

Phone

(605) 923-8621

NPI assigned

Nov 9, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1669138137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2034",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577092034",
            "telephone_number": "605-923-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W MAIN ST STE 311",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022443",
            "telephone_number": "605-923-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "K",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "2245383",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SD",
            "license": "MT11843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "theunfurling@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Google Sheets",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Google",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2525 W Main St Ste 311",
            "city": "Rapid City",
            "state": "SD",
            "country_code": "US",
            "postal_code": "577022443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brian D Smith, MD
• Carol E Smith, RN
• Cassie Lynn Smith
• Eric Smith
• Hailey Smith
• Josh Brian Smith
• Maren Jane Smith, PT, DPT
• Mark Smith
• Mark Gregory Smith, RRT
• Melissa M Smith, PHARMD, RPH

• Massage Therapist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Massage Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.