Active NPI
Patricia Carol Smith, PT
- Physical Therapist
- Sterling, CO
National Provider Identifier
1033465257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4797
- Practice address
- 100 Broadway St. Suite 24
Sterling, CO 80751 - Phone
- (970) 522-1969
- Fax
- (970) 522-0276
- NPI assigned
- Jul 25, 2012
- 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 | 4797 | CO | Primary |
Addresses
Primary practice location
100 Broadway St. Suite 24
Sterling, CO 80751
Mailing address
100 Broadway St. Suite 24
Sterling, CO 80751
Phone (970) 522-1969
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 |
|---|---|---|---|
| 4797 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343174400000",
"number": "1033465257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BROADWAY ST. SUITE 24",
"city": "STERLING",
"state": "CO",
"postal_code": "80751",
"telephone_number": "970-522-1969",
"fax_number": "970-522-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BROADWAY ST. SUITE 24",
"city": "STERLING",
"state": "CO",
"postal_code": "80751",
"telephone_number": "970-522-1969",
"fax_number": "970-522-0276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "PATRICIA",
"middle_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-25",
"last_updated": "2012-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "4797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.