Cristina Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2085679 Issued in TX

Practice address

2700 Memorial Park Dr
Brownwood, TX 76801-8481

Phone

(325) 643-9801

Fax

(325) 646-9359

NPI assigned

Aug 27, 2018

Last updated

Aug 27, 2018By the provider in NPPES

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 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": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1255812327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 RIVER OAKS RD",
            "city": "EARLY",
            "state": "TX",
            "postal_code": "768022605",
            "telephone_number": "505-850-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 MEMORIAL PARK DR",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768018481",
            "telephone_number": "325-643-9801",
            "fax_number": "325-646-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CRISTINA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2085679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY ASSISTANCE",
            "identifier": "2085679",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nizar H. Senussi, MD
• Hana Seok
• Sarah Shetler, FNP
• Chandra Jane Sikes, MSN, APRN, PMHNP-BC
• Rachel Simpson, LAT,ATC
• David A Smith, M.D.
• Emma Smith
• Ginger Rebecca Smith, LICENSED PROFESSIONA
• Joseph Blackburn Smith, L.P.C.
• Larry Dean Smith, C.R.N.A.

• Physical Therapy Assistant in Brownwood, TX
• Providers in Brownwood, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.