Kylie Raye Smith

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160838961 Issued in WA

Practice address

1801 E Upriver Dr
Spokane, WA 99207-5181

Phone

(509) 482-8191

NPI assigned

Nov 21, 2022

Last updated

Nov 21, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: ksmith@riverviewretirement.org

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1053020743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 N SUTHERLIN ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992085043",
            "telephone_number": "509-944-1914",
            "fax_number": "509-944-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E UPRIVER DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992075181",
            "telephone_number": "509-482-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KYLIE",
        "middle_name": "RAYE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160838961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksmith@riverviewretirement.org",
            "affiliation": "N",
            "endpointDescription": "workplace email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email",
            "address_1": "1801 E Upriver Dr",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992075181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kellie A Smith, PHARMD
• Kevin Andrew Smith, PTA
• Kevin Douglas Smith, RN, MN, NP-C
• Kristina Smith, OTR/L
• Kristina Marie Smith, LIFE QUALITY COACH
• Laura Christine Smith, OTR/L
• Leeanna Smith
• Lillian Emilia Smith, ARNP
• Lindsey Crockett Smith, LMHC (WA), LPC (AK)
• Lindsey Marie Smith, ARNP

• Physical Therapy Assistant in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.