Javana Smith

Individual provider Active NPI Physical Therapy Assistant · North New Hyde Park, NY

NPI 1013628296 · NPPES record last updated May 6, 2026

Key facts

NPI
1013628296
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
014389 (NY)
Practice address
1 Hollow LN Ste 214
North New Hyde Park, NY 11042-1215
Phone
(516) 482-0100
NPI assigned
Dec 8, 2022
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
New York Physical Therapy Management, PC Past
since May 4, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 014389 NY Yes

Addresses

Primary practice location

1 Hollow LN Ste 214
North New Hyde Park, NY 11042-1215

Mailing address

5850 Granite Pkwy Ste 600
Plano, TX 75024-6753

Other providers in North New Hyde Park, NY

All providers in North New Hyde Park, NY · Physical Therapy Assistant in New York

Sources for this page

Verify at the official NPI Registry.