Active NPI
Wade Smart, RRT
- Critical Care Registered Respiratory Therapist
- Coconut Creek, FL
National Provider Identifier
1265136436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Registered Respiratory Therapist
- License
- RT141222
- Practice address
- 3768 Pebblebrook MNR
Coconut Creek, FL 33073-2218 - Phone
- (954) 579-7467
- NPI assigned
- Mar 29, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Registered Respiratory Therapist | 2279C0205X | RT141222 | FL | Primary |
Addresses
Primary practice location
3768 Pebblebrook MNR
Coconut Creek, FL 33073-2218
Mailing address
3768 Pebblebrook MNR
Coconut Creek, FL 33073-2218
Phone (954) 579-7467
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT141222 | FL | MD | Critical Care Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jens Med LLC | Single Specialty | Current | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1265136436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3768 PEBBLEBROOK MNR",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330732218",
"telephone_number": "954-579-7467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3768 PEBBLEBROOK MNR",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330732218",
"telephone_number": "954-579-7467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMART",
"first_name": "WADE",
"credential": "RRT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-29",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "2279C0205X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Respiratory Therapist, Registered, Critical Care",
"state": "FL",
"license": "RT141222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.