Teresa Smith

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004975 Issued in KY

Practice address

1227 Goss Ave
Louisville, KY 40217-1239

Phone

(502) 636-1200

NPI assigned

Jun 30, 2011

Last updated

Jun 30, 2011By 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

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 26)

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.

• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1609349018

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Elizabethtown, KY
  • NPI 1467925859

  Physical Therapist

  NPD
• SN Kentuckiana Rehab, LLC

  dba KORT Physical Therapy

  • Rehabilitation Clinic/Center
  • Jeffersonville, IN
  • NPI 1851864169
  NPD

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1114214814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 GOSS AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 GOSS AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171239",
            "telephone_number": "502-636-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Z. Smith, M.D.
• Smith, Stockhammer and Associates, PLLC
• Sullivan Scott Smith, DO
• Syrenity Smith
• Taylor Johnson Smith, PA-C
• Terra Sky Rhoades Smith, CNM
• Tiffany Elaine Smith, PA
• Tiffany Love Smith, APRN
• Tracey Smith, OTRL
• Troy Smith, RBT

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.