Active NPI
Lindsay Hanke Smith, DPT, ATC
- Physical Therapist
- Jacksonville, FL
National Provider Identifier
1265670830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24547
- Practice address
- 6100 Kennerly Rd Ste 201
Jacksonville, FL 32216-4379 - Phone
- (904) 636-5335
- Fax
- (904) 636-5330
- NPI assigned
- Feb 4, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT24547 | FL | Primary |
Addresses
Primary practice location
6100 Kennerly Rd Ste 201
Jacksonville, FL 32216-4379
Mailing address
430 S Horseshoe Rd
St Augustine, FL 32084-1696
Phone (813) 952-8804
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
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233705600000",
"number": "1265670830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 S HORSESHOE RD",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320841696",
"telephone_number": "813-952-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 KENNERLY RD STE 201",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164379",
"telephone_number": "904-636-5335",
"fax_number": "904-636-5330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LINDSAY",
"middle_name": "HANKE",
"name_prefix": "Mrs.",
"credential": "DPT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-04",
"last_updated": "2009-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT24547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.