Lashay Smith

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA4152 Issued in MS

Practice address

2136 Stateline Rd W
Ste B-C
Southaven, MS 38671-1210

Phone

(662) 582-7706

NPI assigned

Dec 3, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22425/brand/1/csg/1/fhir/r4

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.

• Rehab Ready, LLC

  • Physical Therapy Clinic/Center
  • Southaven, MS
  • NPI 1841804283
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1043685951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4942 MATTEW DR",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386378713",
            "telephone_number": "662-582-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 STATELINE RD W",
            "address_2": "STE B-C",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711210",
            "telephone_number": "662-582-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LASHAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "PTA4152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Ruth Smith, APN
• Chaniqua Dominique Smith, PMHNP-BC
• Edward L Smith Sr.
• Gabrielle Smith, HIS
• Johnella Smith
• Lauren Smith, FNP
• Matthew W Smith, PT
• Morgan Thomas Smith
• Noel Smith, RBT
• Regina Christy Smith, APN

• Physical Therapy Assistant in Southaven, MS
• Providers in Southaven, MS by specialty
• Physical Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.