Active NPI
Isabella Smith, PT
- Physical Therapist
- Palm Desert, CA
National Provider Identifier
1023056223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT32761
- Practice address
- 72880 Fred Waring Dr
Palm Desert, CA 92260-9373 - Phone
- (760) 340-4036
- Fax
- (760) 340-4036
- NPI assigned
- Jun 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT32761 | CA | Primary |
Addresses
Primary practice location
72880 Fred Waring Dr
Palm Desert, CA 92260-9373
Mailing address
72880 Fred Waring Dr
Palm Desert, CA 92260-9373
Phone (760) 340-4036
Other practice location 1
78078 Country Club Dr
Suite 205
Indio, CA 92203-8173
Phone (760) 345-9934
Other practice location 2
49420 Biery St
Indio, CA 92201-9738
Phone (760) 831-3270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT32761 | Other | CA | PHYSICAL THERAPY LICENSE |
Other names 1
- Isabella Smith
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32761 | CA | MD | General Practice Dentistry |
| PT32761 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1023056223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72880 FRED WARING DR",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922609373",
"telephone_number": "760-340-4036",
"fax_number": "760-340-4036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72880 FRED WARING DR",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922609373",
"telephone_number": "760-340-4036",
"fax_number": "760-340-4036"
}
],
"practiceLocations": [
{
"address_1": "78078 Country Club Dr",
"address_2": "SUITE 205",
"address_purpose": "LOCATION",
"city": "Indio",
"state": "CA",
"postal_code": "922038173",
"country_code": "US",
"telephone_number": "760-345-9934",
"fax_number": "760-345-3086",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "49420 Biery St",
"address_purpose": "LOCATION",
"city": "Indio",
"state": "CA",
"postal_code": "922019738",
"country_code": "US",
"telephone_number": "760-831-3270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "ISABELLA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT32761",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "PT32761",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ISABELLA",
"last_name": "SMITH",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.