Kimberly Blaker-Smith, M.S.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6952 Issued in FL

Practice address

3200 S University Dr
Sanford L. Ziff BLDG.
Davie, FL 33328-2018

Phone

(954) 262-4149

Fax

(954) 262-1788

NPI assigned

Jan 30, 2012

Last updated

Feb 1, 2016By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

72.47 of 100Reported as group

Quality

62.45

Improvement activities

40

Cost

73.28

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Nova Southeastern University, Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Davie, FL
  • NPI 1770722282

  Physical Therapist

  NPD (past)
• Nova Southeastern University, Inc

  • General Practice Dentistry
  • Davie, FL
  • NPI 1811288012

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1093087512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290370",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333290370",
            "telephone_number": "954-262-4346",
            "fax_number": "954-262-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S UNIVERSITY DR",
            "address_2": "SANFORD L. ZIFF BLDG.",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282018",
            "telephone_number": "954-262-4149",
            "fax_number": "954-262-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKER-SMITH",
        "first_name": "KIMBERLY",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT6952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Scott Black, O.D.
• Mary Blackinton, P.T.
• Melissa Jayne Blackstone
• Janie Katherine Blake, SOCIAL WORKER
• Jonathan Isaac Blake, DPT
• Auguslene Blanc
• Crystal Blanc
• Blanca Palencia-Kerr, PH.D., P.a. (Neurobehavioral & Psychological Services)
• Myrlande Blanchard
• Rose Danielle Blanchard

• Physical Therapist in Davie, FL
• Providers in Davie, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.