Erin Kimberly Smith I, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

038865 Issued in NY

Practice address

11831 US-9W
West Coxsackie, NY 12192

Phone

(518) 731-1157

NPI assigned

Jul 27, 2015

Last updated

Jul 27, 2015By 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 2

Addresses

Other names 1

• Miss Erin Kimberly Henderson Former name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boston Sports Medicine IncGroup PAC ID 9032163985, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11813/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boston Sports Medicine Inc

  • Physical Therapist
  • Allston, MA
  • NPI 1245217546

  Sports

  Medicare reassignment Care Compare group NPD
• Coxsackie Physical Therapy Associates, PC

  dba Excel Physical Therapy

  • Physical Therapist
  • W Coxsackie, NY
  • NPI 1316071582

  Sports

  NPD (past)

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1093190555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 D ST",
            "address_2": "APARTMENT 305",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022101941",
            "telephone_number": "518-590-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11831 US-9W",
            "city": "WEST COXSACKIE",
            "state": "NY",
            "postal_code": "12192",
            "telephone_number": "518-731-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIN",
        "middle_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MA",
            "license": "21748",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "038865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "HENDERSON",
            "middle_name": "KIMBERLY",
            "prefix": "MISS",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• New Baltimore Family Dentistry, LLP
• Robert Ordish, PA-C
• Jack E. Redding II, PA-C
• Ethel Cabanas Rodgers, LMHC
• Brandon Smith, PA
• Alison H Spear, MD
• Jennifer Michele Stall, PA-C
• Jailene Stapleton, PA-C
• Kasparas Vilimas
• Daniel R Wiest, RPAC

• Orthopedic Physical Therapist in West Coxsackie, NY
• Providers in West Coxsackie, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.