Individual provider Active NPI

Flynt Joseph Smathers, ACSM CEP

  • Clinical Exercise Physiologist
  • Dublin, OH
National Provider Identifier
1124602008
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
License
606839 Issued in OH
Practice address
6678 Riverside Dr
Dublin, OH 43017-9503
Phone
(740) 610-1440
NPI assigned
May 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Exercise Physiologist 224Y00000X 606839 OH Primary

Addresses

Primary practice location

6678 Riverside Dr
Dublin, OH 43017-9503

Mailing address

954 Burr Oak Blvd
Nelsonville, OH 45764-9742
Phone (740) 753-3681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
606839OHMDClinical Exercise Physiologist

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1124602008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 BURR OAK BLVD",
            "city": "NELSONVILLE",
            "state": "OH",
            "postal_code": "457649742",
            "telephone_number": "740-753-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6678 RIVERSIDE DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430179503",
            "telephone_number": "740-610-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMATHERS",
        "first_name": "FLYNT",
        "middle_name": "JOSEPH",
        "credential": "ACSM CEP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "OH",
            "license": "606839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.