Brandon Smith, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MSG012242 Issued in PA

Practice address

1324 Stoystown Rd
Friedens, PA 15541-7504

Phone

(814) 289-1914

NPI assigned

Nov 6, 2019

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2019.

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1982248530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 STOYSTOWN RD",
            "city": "FRIEDENS",
            "state": "PA",
            "postal_code": "155417504",
            "telephone_number": "814-289-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 STOYSTOWN RD",
            "city": "FRIEDENS",
            "state": "PA",
            "postal_code": "155417504",
            "telephone_number": "814-289-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG012242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Tamie Landis, OTR/L
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• Stephanie Marie Mitchell
• Shaffers Countryside Assisted Living
• Shanksville-Stonycreek School District

• All providers in Friedens, PA
• Massage Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.