Stephanie Jill Goldman, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

90783 Issued in OK

Practice address

4512 SE Lee Blvd
Lawton, OK 73501-6558

Phone

(580) 860-6104

NPI assigned

Feb 8, 2025

Last updated

May 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Lotus Blossom Yoga Wellness Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lotus Blossom Wellness LLC

  • Massage Therapist
  • Lawton, OK
  • NPI 1366306615
  NPD Authorized official

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

{
    "created_epoch": "1738972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1902611999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 SE LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735016558",
            "telephone_number": "580-860-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4512 SE LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735016558",
            "telephone_number": "580-860-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "STEPHANIE",
        "middle_name": "JILL",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-08",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OK",
            "license": "90783",
            "primary": true
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOTUS",
            "last_name": "WELLNESS",
            "middle_name": "BLOSSOM YOGA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christopher Godfrey, CSA
• Matthew Godfrey, PT, DPT
• Shirley Godfrey, LCSW
• Shante Godwin, MS, CM II
• Yvonne Goetsch
• Jeffrey Golightly, M.D.
• Milaixa Gomez Torres, MD, PA
• Pastor Gomez Vazquez, M.D.
• Stephanie Gomez, L.P.N.
• Lorie Gonzales, LPN

• Massage Therapist in Lawton, OK
• Providers in Lawton, OK by specialty
• Massage Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.