Kwesi Azikiwe Smith, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305216008 Issued in VA

Practice address

1618 Hardy Cash Dr
Hampton, VA 23666-2400

Phone

(757) 853-7453

Fax

(757) 825-3312

NPI assigned

Aug 15, 2023

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 VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peninsula Physical Therapy and Associates, IncGroup PAC ID 7618955220, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Peninsula Physical Therapy & Associates, Inc

  • Physical Therapy Clinic/Center
  • Hampton, VA
  • NPI 1356311880

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1316720279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 HARDY CASH DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662400",
            "telephone_number": "757-838-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 HARDY CASH DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662400",
            "telephone_number": "757-853-7453",
            "fax_number": "757-825-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KWESI",
        "middle_name": "AZIKIWE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Napier Smith, MS, OTR/L
• Joshua Richard Smith, M.D.
• Juanita Lynn Smith, MD
• Kelli Pugh Smith, AUD
• Krystina Janae Smith
• Laura G Smith, CRNA
• Lucy Holloway Smith, MSN, RN
• Michael Willis Smith Jr., MD
• Myra Ann Smith
• Robin Renee Smith, RN

• Physical Therapist in Hampton, VA
• Providers in Hampton, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.