Courtney L Smalley, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

006597-1 Issued in NY

Practice address

350 5TH Ave
Suite 5115
New York, NY 10118-0110

Phone

(866) 601-6474

Fax

(212) 928-9545

NPI assigned

Sep 28, 2007

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

Other identifiers 1

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": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1124215512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 WOODYCREST AVE APT 2C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104523729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 5TH AVE",
            "address_2": "SUITE 5115",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101180110",
            "telephone_number": "866-601-6474",
            "fax_number": "212-928-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLEY",
        "first_name": "COURTNEY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "006597-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCENSE",
            "identifier": "006597-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Small, APN
• William Robert Small
• Yangmei Small
• Gerald J Smallberg, MD
• Cindy Smalletz, OTR/L, BCB
• Samantha Smalley
• Camille Smalling, RN
• Adjoa Smalls-Mantey
• Dennis Smalls, CASAC
• Ebony Smalls

• Physical Therapy Assistant in New York, NY
• Providers in New York, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.