Dee Ann Smith, MS,PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT2187 Issued in AR

Practice address

2915 Dave Ward Dr
Suite 8
Conway, AR 72034-9310

Phone

(501) 329-5459

Fax

(501) 327-1738

NPI assigned

Jan 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Compass Academy

  • Occupational Therapist
  • Conway, AR
  • NPI 1164247128
  NPD

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245388446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HICKORY HILL RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327606",
            "telephone_number": "501-329-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 DAVE WARD DR",
            "address_2": "SUITE 8",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720349310",
            "telephone_number": "501-329-5459",
            "fax_number": "501-327-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEE",
        "middle_name": "ANN",
        "credential": "MS,PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AR",
            "license": "PT2187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139817742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autumn Smith
• Brandon Smith, RECOVERY ASSISTANT
• Cassie Smith
• Christina Smith
• David William Smith, P.D.
• Dennis Smith, MHPP
• Harry Scott Smith, M.D.
• James Smith, MD
• Jevin Allen Smith, MD
• Jonathan Ryan Smith, PT, DPT

• Pediatric Physical Therapist in Conway, AR
• Providers in Conway, AR by specialty
• Pediatric Physical Therapist in Arkansas

• 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.