Paul Anthony Smith

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1608 Issued in SC

Practice address

4828 College Lake Dr
Florence, SC 29506-8900

Phone

(843) 687-3757

NPI assigned

Apr 24, 2011

Sex

Male

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

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

{
    "created_epoch": "1303603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303603200000",
    "number": "1073804100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 COLLEGE LAKE DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295068900",
            "telephone_number": "843-687-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4828 COLLEGE LAKE DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295068900",
            "telephone_number": "843-687-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PAUL",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-24",
        "last_updated": "2011-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "1608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirby Smith
• Machelle Renee Speicher Smith, FNP-BC
• Melissa Smith
• Michael Aaron Smith, M.D., PH.D
• Naomi Smith
• Renee Fitch Smith, LPC
• Shanika Smith
• Sharon Smith, R.PH
• Sherry Lynn Smith, PT
• Tammy Rutledge Smith, RN, CRNA

• Physical Therapy Assistant in Florence, SC
• Providers in Florence, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2011; 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.