Kristie A Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

03189 Issued in IA

Practice address

50 E Hickman Rd
Waukee, IA 50263-5011

Phone

(515) 216-2999

Fax

(515) 216-2990

NPI assigned

Jun 3, 2010

Last updated

Jun 24, 2014By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Younker Rehabilitation Therapy Services LLCGroup PAC ID 2062799810, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Younker Rehabilitation Therapy Services, LLC

  • Physical Therapist
  • Ankeny, IA
  • NPI 1447797113
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1053631887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E HICKMAN RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502635011",
            "telephone_number": "515-471-9720",
            "fax_number": "515-471-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E HICKMAN RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502635011",
            "telephone_number": "515-216-2999",
            "fax_number": "515-216-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTIE",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053631887",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01308570",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simply Chiropractic Des Moines
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• Fiona Cummins Smith, DPT
• Lauren Smith
• Rebecca Smith, DPT
• Julie N Snyder, PHARMD
• Somnicare, Inc
• Somnitech Inc

• Physical Therapist in Waukee, IA
• Providers in Waukee, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.