Active NPI
Carrie Ann Smith, P.T.
- Physical Therapist
- West Baden Springs, IN
National Provider Identifier
1194040238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05009255A
- Practice address
- 5725 N County Road 775 W
West Baden Springs, IN 47469-9308 - Phone
- (812) 936-7258
- NPI assigned
- Apr 1, 2010
- Last updated
- Apr 1, 2010
- Sex
- Female
- 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 | 05009255A | IN | Primary |
Addresses
Primary practice location
5725 N County Road 775 W
West Baden Springs, IN 47469-9308
Mailing address
5725 N County Road 775 W
West Baden Springs, IN 47469-9308
Phone (812) 936-7258
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05009255A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270080000000",
"number": "1194040238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5725 N COUNTY ROAD 775 W",
"city": "WEST BADEN SPRINGS",
"state": "IN",
"postal_code": "474699308",
"telephone_number": "812-936-7258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5725 N COUNTY ROAD 775 W",
"city": "WEST BADEN SPRINGS",
"state": "IN",
"postal_code": "474699308",
"telephone_number": "812-936-7258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CARRIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-01",
"last_updated": "2010-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05009255A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Baden Springs, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.