Individual provider Active NPI

Zendrie Andino Smith, P.T.

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1134329675
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1392 Issued in PR
Practice address
16319 Heathrow Dr
Tampa, FL 33647-2640
Phone
(813) 966-4011
NPI assigned
Jul 23, 2007
Last updated
Sep 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1392 PR Primary

Addresses

Primary practice location

16319 Heathrow Dr
Tampa, FL 33647-2640

Mailing address

16319 Heathrow Dr
Tampa, FL 33647-2640
Phone (813) 966-4011

Other identifiers 1

IdentifierTypeStateIssuer
1392OtherPRPHYSICAL THERAPY LICENSE

Other names 1

  • Zendrie Andino Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1392PRMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ambulatory Anesthesiologists LLC Past Accepting new patients
Morris Rehabilitation and Physical Therapy LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1134329675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16319 HEATHROW DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472640",
            "telephone_number": "813-966-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16319 HEATHROW DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472640",
            "telephone_number": "813-966-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ZENDRIE",
        "middle_name": "ANDINO",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "1392",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZENDRIE",
            "last_name": "ANDINO",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.