Kevin Smith

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

037040-1 Issued in NY

Practice address

19472 US Route 11
Watertown, NY 13601-5387

Phone

(315) 782-3941

Fax

(315) 782-8967

NPI assigned

Dec 13, 2013

Last updated

Mar 6, 2019By 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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cani PT OT SLP and Psychology PLLCGroup PAC ID 0648223875, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cani PT OT SLP & Psychology PLLC

  • Specialist
  • Watertown, NY
  • NPI 1114065174
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1295166411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 STATE ROUTE 28",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501041",
            "telephone_number": "315-717-0020",
            "fax_number": "315-717-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19472 US ROUTE 11",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015387",
            "telephone_number": "315-782-3941",
            "fax_number": "315-782-8967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3061 State Route 28",
            "address_purpose": "LOCATION",
            "city": "Herkimer",
            "state": "NY",
            "postal_code": "133501041",
            "country_code": "US",
            "telephone_number": "315-717-0020",
            "fax_number": "315-717-0024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-13",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "037040-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David R. Smith
• Deborah L Smith, LMT
• Donna Marie Smith, B.S.
• Dusty Smith
• Jeffrey M Smith, RPA-C
• Kory Albert Smith, PT
• Kristen N Smith, LMSW
• Lindsey M Smith, M.S. CCC-SLP
• Maggie-Anne Lorraine Smith, PA-C
• Marie Smith, RNC

• Orthopedic Physical Therapist in Watertown, NY
• Providers in Watertown, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.