Active NPI
Alexandra B Smith, LMT
- Massage Therapist
- Colchester, CT
National Provider Identifier
1962732826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 005478
- Practice address
- 16 Wall St
Colchester, CT 06415-1161 - Phone
- (860) 537-2202
- NPI assigned
- Dec 28, 2009
- Last updated
- Dec 28, 2009
- 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 | 005478 | CT | Primary |
Addresses
Primary practice location
16 Wall St
Colchester, CT 06415-1161
Mailing address
267 Skinner LN
Hebron, CT 06248-1352
Phone (860) 228-8530
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 |
|---|---|---|---|
| 005478 | CT | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casey Chiropractic, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261958400000",
"number": "1962732826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 SKINNER LN",
"city": "HEBRON",
"state": "CT",
"postal_code": "062481352",
"telephone_number": "860-228-8530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 WALL ST",
"city": "COLCHESTER",
"state": "CT",
"postal_code": "064151161",
"telephone_number": "860-537-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ALEXANDRA",
"middle_name": "B",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-28",
"last_updated": "2009-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CT",
"license": "005478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.