Active NPI
Kiara Felise Smith, PT, DPT, ATC
- Physical Therapist
- Burlington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP060025T
- Practice address
- 1205 University Dr Unit 112
Burlington, NC 27215-8575 - Phone
- (336) 542-5111
- NPI assigned
- Jan 17, 2019
- Last updated
- Jul 28, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 30794 | MD | |
| Physical Therapist | 225100000X | CP060025T | NC | Primary |
| Athletic Trainer | 2255A2300X | NU |
Addresses
Primary practice location
1205 University Dr Unit 112
Burlington, NC 27215-8575
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-8995
Other practice location 1
12070 Old Line Ctr Ste 107
Waldorf, MD 20602-2503
Phone (301) 374-6885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1200 Corporate Dr
Suite 400
Hoover, AL 35242-2902
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30794 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas Avery & Associates, LTD | Past | Accepting new patients | |
| Douglas Avery & Associates LTD | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Waldorf, MD
- NPI 1942206412
-
dba Select Physical Therapy
- Rehabilitation Clinic/Center
- Midlothian, VA
- NPI 1013503721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1013481662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-8995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 UNIVERSITY DR UNIT 112",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272158575",
"telephone_number": "336-542-5111"
}
],
"practiceLocations": [
{
"address_1": "12070 Old Line Ctr Ste 107",
"address_purpose": "LOCATION",
"city": "Waldorf",
"state": "MD",
"postal_code": "206022503",
"country_code": "US",
"telephone_number": "301-374-6885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "KIARA",
"middle_name": "FELISE",
"credential": "PT, DPT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-17",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "30794",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "CP060025T",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.