Individual provider Active NPI

Ben Smith, LMT, CPT, CKTP

  • Massage Therapist
  • Anchorage, AK
National Provider Identifier
1902316854
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
101874 Issued in AK
Practice address
1113 W Fireweed LN Ste 201
Anchorage, AK 99503-1754
Phone
(907) 290-0668
Fax
(907) 202-9176
NPI assigned
Oct 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 101874 AK Primary

Addresses

Primary practice location

1113 W Fireweed LN Ste 201
Anchorage, AK 99503-1754

Mailing address

1113 W Fireweed LN Ste 201
Anchorage, AK 99503-1754
Phone (907) 290-0668

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

LicenseStateTypeSpecialty
101874AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bodysmith, LLC Current Accepting new patients

Locations

1113 W Fireweed Ln
Ste 201
Anchorage, AK 99503
Phone (907) 290-0668

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1902316854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 W FIREWEED LN STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995031754",
            "telephone_number": "907-290-0668",
            "fax_number": "907-202-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 W FIREWEED LN STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995031754",
            "telephone_number": "907-290-0668",
            "fax_number": "907-202-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BEN",
        "credential": "LMT, CPT, CKTP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "101874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.