Individual provider Active NPI

Erin Marie Smith

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1184264996
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
045423 Issued in NY
Practice address
2300 Westchester Ave
Bronx, NY 10462-5072
Phone
(718) 409-1450
NPI assigned
Jan 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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 045423 NY Primary

Addresses

Primary practice location

2300 Westchester Ave
Bronx, NY 10462-5072

Mailing address

134 Maple Ave
Bethpage, NY 11714-2115
Phone (516) 305-3414

Other practice location 1

134 Maple Ave
Bethpage, NY 11714-2115
Phone (516) 305-3414

Other practice location 2

2114 Newtown Ave
Astoria, NY 11102-2935
Phone (718) 545-0958

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
045423NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leaps and Bounds Physical Therapy and Occupational Therapy PLLC Physical Therapist PastSince Nov 16, 2020 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, 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": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1184264996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 MAPLE AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117142115",
            "telephone_number": "516-305-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104625072",
            "telephone_number": "718-409-1450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Bethpage",
            "state": "NY",
            "postal_code": "117142115",
            "country_code": "US",
            "telephone_number": "516-305-3414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2114 Newtown Ave",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111022935",
            "country_code": "US",
            "telephone_number": "718-545-0958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.