Pieter De Smidt, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1072643 Issued in TX

Practice address

2235 Thousand Oaks Dr
Suite 118
San Antonio, TX 78232-3969

Phone

(210) 402-3856

Fax

(210) 490-5921

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back to Action IncGroup PAC ID 3375532484, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Back to Action Inc

  • Physical Therapist
  • Harlingen, TX
  • NPI 1487660734
  Medicare reassignment Care Compare group NPD
• Alamo City Medical Group, PLLC

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1558354092
  NPD (past)
• Del Rio Therapy, P.C.

  • Physical Therapist
  • Del Rio, TX
  • NPI 1861573875
  NPD (past)
• Phytex Rehabilitation, LLC

  • Physical Therapist
  • Odessa, TX
  • NPI 1053405977
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1174612527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 CENTRAL PARKWAY NORTH",
            "address_2": "SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325024",
            "telephone_number": "210-541-4500",
            "fax_number": "210-541-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 THOUSAND OAKS DR",
            "address_2": "SUITE 118",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323969",
            "telephone_number": "210-402-3856",
            "fax_number": "210-490-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SMIDT",
        "first_name": "PIETER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1072643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dora De Santiago
• Adam Gabriel De Sequera
• Sophie Belle Deahl De Sequera, FNP-BC
• Anil Mohan De Silva, M.D.
• Palla Rivi De Silva, M.D.
• Sylvia Cho De Sola, MD
• Sandra Ann De Sousa
• Taylor De Spain
• Cynthia De Veaux
• Manuel Ronald Biangco De Vera, PT

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.