Zendrie Andino Smith, P.T. – Physical Therapist

Key facts

NPI: 1134329675
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 1392 (PR)
Practice address: 16319 Heathrow Dr
Tampa, FL 33647-2640
Phone: (813) 966-4011
NPI assigned: Jul 23, 2007
Sex: Female
Sole proprietor: Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Advanced Ambulatory Anesthesiologists LLC Specialist · Millburn, NJ · NPI 1336142249

NPD (past)
Morris Rehabilitation and Physical Therapy LLC Rehabilitation Chiropractor · Dover, NJ · NPI 1497816888

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
1392	PR	MD	Occupational Therapist

Practice roles

Organization	Specialty	Status	New patients
Morris Rehabilitation and Physical Therapy LLC		Past	Accepting new patients
Advanced Ambulatory Anesthesiologists LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	1392	PR	Yes

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

Identifier	Type	State	Issuer
1392	Other	PR	PHYSICAL THERAPY LICENSE

Other names

Zendrie Andino Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 28, 2015.

{
    "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

All providers in Tampa, FL · Physical Therapist in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.