Organization Active NPI

Paulette a Smart MD PA

  • Physical Medicine & Rehabilitation Physician
  • Orlando, FL
National Provider Identifier
1326074758
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME72680 Issued in FL
Legal business name
PAULETTE A SMART MD PA
Practice address
76 W Underwood St, 2ND Floor
Orlando, FL 32806-1110
Phone
(321) 558-4996
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Dr. Paulette A Smart - Mackey, MDNPI 1730366626
Title
President
Phone
(407) 252-9161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X ME72680 FL Primary

Addresses

Primary practice location

76 W Underwood St, 2ND Floor
Orlando, FL 32806-1110

Mailing address

PO Box 561405
Orlando, FL 32856-1405
Phone (321) 558-4996

Other identifiers 1

IdentifierTypeStateIssuer
252661100MedicaidFL

Other names 1

  • Paulette Andrea Smart MD PA Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251002005209 FL Part B Supplier - Clinic/Group Practice 3274527437 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL; Kissimmee, FL

National Provider Directory

National Provider Directory

Locations

76 Underwood St
Fl 2
Orlando, FL 32806
Phone (321) 558-4996

1404 Kuhl Ave
Orlando, FL 32806
Phone (321) 841-5458

76 Underwood St
Orlando, FL 32806
Phone (321) 842-6813

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1326074758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561405",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328561405",
            "telephone_number": "321-558-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 W UNDERWOOD ST, 2ND FLOOR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061110",
            "telephone_number": "321-558-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULETTE A SMART MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "SMART - MACKEY",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-252-9161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME72680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252661100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paulette Andrea Smart MD PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.