Amy Renee Sebastian Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3456 Issued in NC

Practice address

11618 US Hwy 70 W Ste 106
Clayton, NC 27520-2276

Phone

(919) 373-2000

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9643/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.

• Carolina Decompression and Physical Therapy LLC

  dba Carolina Spine & Disc Center

  • Physical Therapy Clinic/Center
  • Clayton, NC
  • NPI 1326705450
  NPD
• Carolina Spine and Disc Center

  • Family Medicine Physician
  • Clayton, NC
  • NPI 1851719397
  NPD
• Aquatic Physical Therapy & Beyond, LLC

  • Physical Therapist
  • Raleigh, NC
  • NPI 1861462558
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1063430759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HANNAH DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275209679",
            "telephone_number": "919-495-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11618 US HWY 70 W STE 106",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202276",
            "telephone_number": "919-373-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMY",
        "middle_name": "RENEE SEBASTIAN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "3456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Lynn Skillman, CPNP
• Slemmer Therapeutic Services, Inc.
• Robert Weston Slemmer Jr., LPC, NCC
• Nicole Small
• Allyson Grace Smith, LMFT-A
• Angela Carmella Smith, M.ED, LPC, NCC
• Briana Smith
• Denise Lauraine Smith, OTR/L
• Donnie Chris Smith, PT
• Erin Smith, LCMHC

• Physical Therapy Assistant in Clayton, NC
• Providers in Clayton, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.