Individual provider Active NPI

Cierra Smith

  • Physical Therapist
  • Cooper City, FL
National Provider Identifier
1043972177
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT37883 Issued in FL
Practice address
8612 Griffin Rd
Cooper City, FL 33328-3719
Phone
(954) 252-8900
NPI assigned
Oct 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X PT37883 FL Primary

Addresses

Primary practice location

8612 Griffin Rd
Cooper City, FL 33328-3719

Mailing address

777 SE 20TH St
Ste 200
Fort Lauderdale, FL 33316-3589
Phone (954) 302-7717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220628003610 FL Practitioner - Physical Therapist in Private Practice 7012397607 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHW Medical Group LLCGroup PAC ID 5991100232, 8 clinicians

Practice addresses (Care Compare)

777 SE 20TH St
Suite 200
Ft Lauderdale, FL 33316-3589
Phone (954) 302-7717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT37883FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Palms Chiropractic Health Center Inc CurrentSince May 1, 2022 Accepting new patients
USA Sports Medicine Broward Physical Therapist CurrentSince May 1, 2022 Accepting new patients
USA Sports Medicine LLC CurrentSince Feb 15, 2025 Accepting new patients
VHW Medical Group LLC Physical Therapist CurrentSince Oct 19, 2022 Accepting new patients

Locations

777 SE 20th St
Ste 200
Ft Lauderdale, FL 33316
Phone (954) 302-7717

21150 Biscayne Blvd
Ste 406
Miami, FL 33180

404 Washington Ave
Ste 120
Miami Beach, FL 33139
Phone (305) 479-2973

9050 Pines Blvd
Ste 102
Pembroke Pines, FL 33024
Phone (954) 241-3692

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1043972177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 SE 20TH ST",
            "address_2": "STE 200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163589",
            "telephone_number": "954-302-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8612 GRIFFIN RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283719",
            "telephone_number": "954-252-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.