Active NPI
Lori M Smeltzer-Wideman, LMT
- Massage Therapist
- Darlington, SC
National Provider Identifier
1871948661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10207
- Practice address
- 1212 Harry Byrd Hwy
Darlington, SC 29532-3509 - Phone
- (843) 393-1107
- NPI assigned
- Apr 28, 2016
- Last updated
- Apr 28, 2016
- 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 | 10207 | SC | Primary |
Addresses
Primary practice location
1212 Harry Byrd Hwy
Darlington, SC 29532-3509
Mailing address
414 Eastburn CT
Darlington, SC 29532-2716
Phone (843) 319-6855
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 |
|---|---|---|---|
| 10207 | SC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461801600000",
"number": "1871948661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 EASTBURN CT",
"city": "DARLINGTON",
"state": "SC",
"postal_code": "295322716",
"telephone_number": "843-319-6855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 HARRY BYRD HWY",
"city": "DARLINGTON",
"state": "SC",
"postal_code": "295323509",
"telephone_number": "843-393-1107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMELTZER-WIDEMAN",
"first_name": "LORI",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-28",
"last_updated": "2016-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "10207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Darlington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.