Active NPI
Penelope Smith, LMT
- Massage Therapist
- Picayune, MS
National Provider Identifier
1932414216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 811
- Practice address
- 2322 Highway 43 S
Suite a
Picayune, MS 39466-7525 - Phone
- (601) 799-4118
- NPI assigned
- Aug 11, 2010
- Last updated
- Aug 11, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 811 | MS | Primary |
Addresses
Primary practice location
2322 Highway 43 S
Suite a
Picayune, MS 39466-7525
Mailing address
52 Morris Sones Rd
Picayune, MS 39466-6627
Phone (601) 862-0670
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 |
|---|---|---|---|
| 811 | MS | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1932414216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 MORRIS SONES RD",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394666627",
"telephone_number": "601-862-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2322 HIGHWAY 43 S",
"address_2": "SUITE A",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394667525",
"telephone_number": "601-799-4118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "PENELOPE",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-11",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MS",
"license": "811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Picayune, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.