Karen J Smith, PTH

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1030690 Issued in TX

Practice address

1504 S Texas Ave
Bryan, TX 77802-1015

Phone

(979) 822-6467

Fax

(979) 821-9448

NPI assigned

Mar 14, 2009

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1236988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236988800000",
    "number": "1255572673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E 24TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778035303",
            "telephone_number": "979-822-6467",
            "fax_number": "979-821-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 S TEXAS AVE",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021015",
            "telephone_number": "979-822-6467",
            "fax_number": "979-821-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAREN",
        "middle_name": "J",
        "credential": "PTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-14",
        "last_updated": "2009-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1030690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "1030690",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailey Smith
• Charles H Smith, M.D.
• Chelsea Leigh Smith, BCBA
• Emily Michelle Smith, COTA
• Judy Jean Smith, WHCNP
• Kimberly Lee Smith
• Mireya Smith
• Vermicker Smith, NP
• Virginia Evelyn Smith, M.D.
• Jocelyn Emily Snow

• Physical Therapist in Bryan, TX
• Providers in Bryan, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2009; 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.