Jerry Arthur Smith, PT ATC L

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05001219A Issued in IN

Practice address

5603 W Raymond St
Suite D Rehab
Indianapolis, IN 46241

Phone

(317) 248-7964

Fax

(317) 248-5006

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1144396409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 W CENTURY PLAZA RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46254",
            "telephone_number": "317-216-2828",
            "fax_number": "317-216-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5603 W RAYMOND ST",
            "address_2": "SUITE D REHAB",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46241",
            "telephone_number": "317-248-7964",
            "fax_number": "317-248-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JERRY",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "PT ATC L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05001219A",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36000196A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Smith, LCSW
• Jennifer Denise Smith
• Jennifer Lee Smith, LPN
• Jennifer Leigh Smith, MS, LGC
• Jerrold R Smith, MD
• Jessica Leigh Smith, MD
• Jodi L Smith, MD, PHD
• Jonathan Smith, MD
• Jorden Rose Smith, PA-C
• Joseph P Smith, MD

• Physical Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.