Kierston Hailey Smith

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA28524 Issued in FL

Practice address

2629 Del Prado Blvd S
Cape Coral, FL 33904-5769

Phone

(239) 574-4434

NPI assigned

Nov 5, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1265900633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 NW 19TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339937553",
            "telephone_number": "941-661-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045769",
            "telephone_number": "239-574-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIERSTON",
        "middle_name": "HAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA28524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desmond Joseph Smith, D.C.
• Eleanor Valerie Smith, PH.D.
• Hillary L Smith, PHD
• Jeffrey Smith, M.D.
• Jonah James Smith
• Mark A Smith, D.C.
• Monique Dana Smith, LMFT, IMH
• Nicholas Desmond Smith
• Rachel Creath Smith, PA-C
• Rodney J Smith, O.D.

• Physical Therapy Assistant in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.