Jamie Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

29395 Issued in FL

Practice address

420 Bay Ave
Clearwater, FL 33756-5291

Phone

(727) 445-4700

NPI assigned

Jul 4, 2022

Sex

Male

Sole proprietor

Yes

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": "1656892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656892800000",
    "number": "1275266694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6262 142ND AVE N UNIT 406",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337602769",
            "telephone_number": "717-884-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 BAY AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565291",
            "telephone_number": "727-445-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-04",
        "last_updated": "2022-07-04",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "29395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Smith, CRNA
• Eben A Smith, APRN
• Edward Lewis Smith, HIS, BSN, RN, CCRN
• Gregory Scott Smith, D.O.
• James Wilson Smith Jr., LMT
• Jeff Smith Jr.
• Jeffrey Smith, CST-FA
• John Edward Smith, LMHC
• Julie Adriene Smith
• Kaylie Marie Smith, PHARM.D

• Physical Therapy Assistant in Clearwater, FL
• Providers in Clearwater, 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 Jul 4, 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.

Verify at the official NPI Registry.