Active NPI
Timothy Roberts Smith
- Physical Therapist
- Pineville, KY
National Provider Identifier
1316628787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 103 S Pine St
Pineville, KY 40977-1610 - Phone
- (606) 254-2075
- NPI assigned
- Jul 28, 2023
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
103 S Pine St
Pineville, KY 40977-1610
Mailing address
2995 Ky 225
PO Box 324
Artemus, KY 40903
Phone (606) 622-3850
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1316628787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 KY 225",
"address_2": "PO BOX 324",
"city": "ARTEMUS",
"state": "KY",
"postal_code": "40903",
"telephone_number": "606-622-3850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 S PINE ST",
"city": "PINEVILLE",
"state": "KY",
"postal_code": "409771610",
"telephone_number": "606-254-2075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TIMOTHY",
"middle_name": "ROBERTS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-28",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pineville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.