Alicia Smylie, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

3771565 Issued in ID

Practice address

Prime Sports Med
1601 12TH Ave Rd Suite 101
Nampa, ID 83686

Phone

(208) 466-0200

NPI assigned

Jun 9, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Prime Sports Med

  • Chiropractor
  • Nampa, ID
  • NPI 1407354574
  NPD

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

{
    "created_epoch": "1528502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1760975288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 12TH AVE RD SUITE 101",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83686",
            "telephone_number": "208-466-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRIME SPORTS MED",
            "address_2": "1601 12TH AVE RD SUITE 101",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83686",
            "telephone_number": "208-466-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYLIE",
        "first_name": "ALICIA",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-09",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "3771565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preston S Smith, PA-C
• Quinn J Smith, DMD
• Samantha Lakey Smith, DPT
• Sydney Cascade Smith, LMT
• Taylor Daisy Smith
• Brian Doxey Snow, D.O.
• E. Fred Snow, LCPC
• Kendra Snow, MS CCC-SLP
• Marshall Snow, M.D.
• Allysa Kay Sobotta

• Massage Therapist in Nampa, ID
• Providers in Nampa, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.

Verify at the official NPI Registry.