Branden J Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT41123 Issued in CA

Practice address

7033 N Fresno St Ste 202
Fresno, CA 93720-2976

Phone

(559) 438-4300

Fax

(559) 438-4339

NPI assigned

Mar 13, 2014

Last updated

Sep 18, 2020By the provider in NPPES

Sex

Male

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)

Enrolled

State licenses

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1265858310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 N FRESNO ST STE 202",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202976",
            "telephone_number": "559-438-4300",
            "fax_number": "559-438-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7033 N FRESNO ST STE 202",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202976",
            "telephone_number": "559-438-4300",
            "fax_number": "559-438-4339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 S Zediker Ave Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Parlier",
            "state": "CA",
            "postal_code": "936482667",
            "country_code": "US",
            "telephone_number": "559-426-3600",
            "fax_number": "559-426-3665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRANDEN",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-13",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT41123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "PT41123",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arianna Smith
• Arrie Marie Smith
• Ava Michelle Smith
• Ayriese Smith
• Blythe Ashley Smith, LM, CPM
• Brittani R Smith
• Cassandra Smith, PPS
• Charlen Mora Smith
• Cheryl Lee Dueck Smith, M.S.
• Cheyanne Smith

• Physical Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.