ALFRED EDWARD SMITH JR. (NPI# 1205246964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205246964 |
| Entity Type | Individual |
| Full Name | ALFRED EDWARD SMITH JR. |
| Credential | CMT |
| Practice Address |
1645 Laskin Rd Suite 104 Virginia Beach VA 23451-6199 |
| Practice Telephone | 7572406049 |
| Mailing Telephone | 7572406049 |
| Enumeration Date | 2014-05-04 |
| Last Update Date | 2016-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0019012425 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881761096 | Alfred T Smith | Counselor | 1245 Hwy 1806th, Mobridge, SD 57601 | 2006-11-30 |
| 1497835458 | Alfred Emanuel Smith | Surgery | 1843 Fm 1291, New Ulm, TX 78950-5216 | 2006-10-16 |
| 1699744375 | Alfred Owen Smith | Chiropractor | 2477 Stickney Point Rd, Suite 202a, Sarasota, FL 34231-4076 | 2006-03-16 |
| 1811380967 | Alfred Smith | Counselor | 30 Meadowbrook Rd, Brockton, MA 02301-7122 | 2015-03-13 |
| 1851632467 | Alfred Gordon Smith IIi | Internal Medicine | 620 John Paul Jones Circle, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2013-03-06 |
| 1467658021 | Alfred E Smith Sr. | Dentist | 19418 Leitersburg Pike, Hagerstown, MD 21742-1438 | 2007-06-21 |
| Street Address |
1645 LASKIN RD SUITE 104 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23451-6199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547268 | Brynn Arica Carey | Speech-Language Pathologist | Laskin Road Annex, 1413 Laskin Road, Virginia Beach, VA 23451 | 2020-10-29 |
| 1851864094 | Erica Genevieve Johns | Counselor | 253 C Street, Camp Pendleton, Virginia Beach, VA 23451 | 2019-01-10 |
| 1407327729 | Crystal Michelle Larios | Physical Therapy Assistant | Westminster Canterbury, Virginia Beach, VA 23451 | 2018-12-14 |
| 1215423322 | Ketan Patel | Dentist | 395 Norfolk Ave, Virginia Beach, VA 23451 | 2018-07-02 |
| 1356844427 | Kristina Maria Matthews | Nurse's Aide | 1206 Laskin Road, Suite 140-g, Virginia Beach, VA 23451 | 2018-03-14 |
| 1437652823 | Beach Medical Suppliers LLC | Durable Medical Equipment & Medical Supplies | 2256 W. Great Neck Rd, Virginia Beach, VA 23451 | 2018-03-13 |
| 1740782291 | Sherree Weeks | Speech-Language Pathologist | 1413 Laskin Rd., Va. Beach, VA 23451 | 2018-03-01 |
| 1649709007 | Christine Herslow | Registered Nurse | 2200 Elder Road, Virginia Beach, VA 23451 | 2017-06-08 |
| 1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
| 1306182795 | John Leroy Stacy Jr. | Counselor | 409 Birdneck Cir, Virginia Beach, VA 23451 | 2012-12-12 |
| Find all providers in zip 23451 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676531 | Dana Carlton | Massage Therapist | 1340 N Great Neck Rd # 1272263, Virginia Beach, VA 23454-2268 | 2020-10-13 |
| 1184221459 | Kathryn Brie Cunningham | Massage Therapist | 3209 Barbour Dr, Virginia Beach, VA 23456-7904 | 2020-10-08 |
| 1730796038 | Kaya Ann Steele | Massage Therapist | 319 Edwin Dr Ste 103, Virginia Beach, VA 23462-4541 | 2020-09-30 |
| 1295340834 | Ashlee Eley | Massage Therapist | 1713 Chase Arbor Cmn, Virginia Beach, VA 23462-7412 | 2020-09-10 |
| 1295349603 | Stacy E Kelley | Massage Therapist | 312 Thalia Station Ct, Virginia Beach, VA 23452-1752 | 2020-09-02 |
| 1861005852 | Angela Sayre Denton | Massage Therapist | 3757 N Landing Rd, Virginia Beach, VA 23456-2402 | 2020-08-28 |
| 1710515606 | Christine M Barnes | Massage Therapist | 1357 N Great Neck Rd Ste 106, Virginia Beach, VA 23454-2237 | 2020-03-28 |
| 1548895923 | Kantria Sierra Kaaroud | Massage Therapist | 4605 Pembroke Lake Cir Ste 303, Virginia Beach, VA 23455-6448 | 2020-03-06 |
| 1427609379 | Ardebe Therapy | Massage Therapist | 1213 Laskin Rd Ste 202, Virginia Beach, VA 23451-5260 | 2019-09-23 |
| 1770138687 | Courtney Janelle Uzzle | Massage Therapist | 156 Newtown Rd Ste A-4, Virginia Beach, VA 23462-2410 | 2019-08-07 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23451 |
Please comment or provide details below to improve the information on ALFRED EDWARD SMITH JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.