Active NPI
Desmond Smoot
- Kinesiotherapist
- Houston, TX
National Provider Identifier
1265187165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Kinesiotherapist
- License
- 2009
- Practice address
- 2002 Holcombe Blvd
Houston, TX 77030-4211 - Phone
- (708) 218-2007
- NPI assigned
- Feb 18, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Kinesiotherapist | 226300000X | 2009 | Primary |
Addresses
Primary practice location
2002 Holcombe Blvd
Houston, TX 77030-4211
Mailing address
2002 Holcombe Blvd
RCL-117
Houston, TX 77030-4211
Phone (713) 791-1414
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1265187165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 HOLCOMBE BLVD",
"address_2": "RCL-117",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304211",
"telephone_number": "713-791-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304211",
"telephone_number": "708-218-2007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOOT",
"first_name": "DESMOND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-18",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": null,
"license": "2009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.