Jamie George Smith, MSPT, ATC, CSCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

02870 Issued in LA

Practice address

2012 S. Burnside Ave.
Suite B
Gonzales, LA 70737-4637

Phone

(225) 647-1515

Fax

(225) 647-5151

NPI assigned

Jun 27, 2006

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

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Spine & Sports Specialties

  • Physical Therapist
  • Gonzales, LA
  • NPI 1801999057
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1083641989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1991",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707071991",
            "telephone_number": "225-647-1515",
            "fax_number": "225-647-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 S. BURNSIDE AVE.",
            "address_2": "SUITE B",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374637",
            "telephone_number": "225-647-1515",
            "fax_number": "225-647-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMIE",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "MSPT, ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "02870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sleep Solutions of Gonzales, LLC
• Sleep Solutions of Gonzales, LLC
• Smart Dental Care Gonzales LLC
• Alton Smith
• Dequan Smith
• Kelsey Smith
• Kimberley Harris Smith, FNP-BC
• Leah Waters Smith, OTR/L
• Phillip L Smith, D.C.
• Therese Bourgeois Smith, RPH

• Orthopedic Physical Therapist in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Orthopedic Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.