Kathleen Anne Smart, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

1919 Lakeland Hills Blvd
Lakeland, FL 33805-2901

Phone

(863) 688-5612

NPI assigned

Jun 9, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560038400000",
    "number": "1225697758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 OLD POLK CITY RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338092381",
            "telephone_number": "863-608-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052901",
            "telephone_number": "863-688-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMART",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-09",
        "last_updated": "2019-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smalifellc
• Maria Small
• Sheri S Small, APRN
• Rayne Trannisa Smalls
• Priscilla Smart-Thomas, LMHC
• Sandrene Smart
• Smekka, LLC
• Smile Plus Dental Group Inc
• Abigail Louise Smith
• Agnes Helena Smith

• Physical Therapy Assistant in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2019; 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.