Eris W. Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

641 Issued in ND

Practice address

1600 2ND Ave SW
Suite 24
Minot, ND 58701-3459

Phone

(701) 839-4102

Fax

(701) 838-9603

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215048079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 19TH AVE NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587031649",
            "telephone_number": "701-839-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 2ND AVE SW",
            "address_2": "SUITE 24",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013459",
            "telephone_number": "701-839-4102",
            "fax_number": "701-838-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIS",
        "middle_name": "W.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "20742",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52828",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00296963001",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKFORCE SAFETY INSURANC",
            "identifier": "450461512000",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Smith, MS, ATC
• Annaka Smith
• Benjamin Eli Smith, LAPC
• Clarence Milton Smith, MD
• David Smith
• Trichele Smith, LMSW
• Unique Kyandra Smith
• Joe L Smothers, DO
• Kaitlin Snead
• Kyla Rae Snyder, CRNA

• Physical Therapist in Minot, ND
• Providers in Minot, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.