Active NPI
Aaron Smith
- Physical Therapist
- Garner, NC
National Provider Identifier
1164029096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P19550
- Practice address
- 510 Timber Dr E Ste 102
Garner, NC 27529-5285 - Phone
- (919) 500-5003
- Fax
- (910) 500-5012
- NPI assigned
- Oct 5, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P19550 | NC | Primary |
Addresses
Primary practice location
510 Timber Dr E Ste 102
Garner, NC 27529-5285
Mailing address
1714 Canterbury Rd
Raleigh, NC 27608-1110
Phone (919) 791-6678
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
| License | State | Type | Specialty |
|---|---|---|---|
| P19550 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metrolina Nephrology Associates, PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Nephrology Physician
- Charlotte, NC
- NPI 1083664189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1164029096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 CANTERBURY RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276081110",
"telephone_number": "919-791-6678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 TIMBER DR E STE 102",
"city": "GARNER",
"state": "NC",
"postal_code": "275295285",
"telephone_number": "919-500-5003",
"fax_number": "910-500-5012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "AARON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-05",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P19550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.