Colleen Annette Cueni-Smith, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

111231 Issued in MO

Practice address

1870 Bagnell Dam Blvd
Lake Ozark, MO 65049-8658

Phone

(573) 964-6010

NPI assigned

Sep 24, 2008

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2008.

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1043460322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 BOBCAT LANE",
            "city": "FOUR SEASONS",
            "state": "MO",
            "postal_code": "650494855",
            "telephone_number": "573-365-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 BAGNELL DAM BLVD",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650498658",
            "telephone_number": "573-964-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUENI-SMITH",
        "first_name": "COLLEEN",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "111231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Change Academy Lake of the Ozarks
• Change Academy Lake of the Ozarks
• Change Academy Lake Ozark
• Paven Clark
• Angela Sue Creasy, SLP
• Jean Louise Curtit-Voss, DC
• Annmarie Davis, RN
• Randall Galen Drake, D.C.
• Mary Ann Duckworth
• Tiffany Duncan-Ash, LPC

• All providers in Lake Ozark, MO
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.