Individual provider Active NPI

Carrie Lynne Smith, DPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1245495407
Registry record updated Aug 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2664 Issued in NE
Practice address
4006 N 144TH St
Omaha, NE 68116-4206
Phone
(402) 885-8855
NPI assigned
Jul 26, 2008
Last updated
Aug 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2664 NE Primary

Addresses

Primary practice location

4006 N 144TH St
Omaha, NE 68116-4206

Mailing address

16533 Canyon TRL
Omaha, NE 68136-1851
Phone (402) 661-9444

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://www.mcguiganpt.com/ Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2664NEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Physical Therapy PC Single Specialty PastSince Apr 22, 2002 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596931200000",
    "number": "1245495407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16533 CANYON TRL",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681361851",
            "telephone_number": "402-661-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 N 144TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681164206",
            "telephone_number": "402-885-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARRIE",
        "middle_name": "LYNNE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-26",
        "last_updated": "2020-08-09",
        "certification_date": "2020-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.mcguiganpt.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Contact information",
            "address_1": "4006 N 144th St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681164206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2020; 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.