Individual provider Active NPI

Katie Marie Smyers, PT

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1346406295
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5782 Issued in SC
Practice address
5910 Garners Ferry Rd
Columbia, SC 29209-1301
Phone
(803) 783-0684
Fax
(803) 783-1147
NPI assigned
Jul 31, 2008
Last updated
Nov 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5782 SC Primary

Addresses

Primary practice location

5910 Garners Ferry Rd
Columbia, SC 29209-1301

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Other practice location 1

7035 Saint Andrews Rd Ste 203
Columbia, SC 29212-1177
Phone (803) 749-6759

Other identifiers 1

IdentifierTypeStateIssuer
5782OtherSCLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ksmyers2657@direct.lexmed.com

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5782SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington County Health Services District Inc Current Accepting new patients
Ats Kids LLC Physical Therapist PastSince Jun 3, 2025 Accepting new patients
Advanced Therapy Solutions, Inc. Physical Therapist Past Accepting new patients
Ellis Physical Therapy Associates, Inc Physical Therapist Past Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients
Advanced Therapy Solutions, Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1346406295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 GARNERS FERRY RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091301",
            "telephone_number": "803-783-0684",
            "fax_number": "803-783-1147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7035 Saint Andrews Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292121177",
            "country_code": "US",
            "telephone_number": "803-749-6759",
            "fax_number": "803-791-2713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMYERS",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5782",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksmyers2657@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "7035 Saint Andrews Rd Ste 203",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292121177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.