Active NPI
Sarah Enzaldo Smith, PT, DPT
- Orthopedic Physical Therapist
- Goose Creek, SC
National Provider Identifier
1205280229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 6034
- Practice address
- 214 Saint James Ave Ste 140B
Goose Creek, SC 29445-2974 - Phone
- (843) 793-4466
- Fax
- (843) 794-3786
- NPI assigned
- Apr 15, 2016
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 6034 | SC | Primary |
Addresses
Primary practice location
214 Saint James Ave Ste 140B
Goose Creek, SC 29445-2974
Mailing address
214 Saint James Ave Ste 140B
Goose Creek, SC 29445-2974
Phone (843) 793-4466
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 |
|---|---|---|---|
| 6034 | SC | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joints in Motion Physical Therapy and Wellness, LLC | Orthopedic | 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.
-
- Physical Therapy Clinic/Center
- Goose Creek, SC
- NPI 1942508700
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1205280229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 SAINT JAMES AVE STE 140B",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294452974",
"telephone_number": "843-793-4466",
"fax_number": "843-794-3786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 SAINT JAMES AVE STE 140B",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294452974",
"telephone_number": "843-793-4466",
"fax_number": "843-794-3786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SARAH",
"middle_name": "ENZALDO",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-15",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "SC",
"license": "6034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.