Jared Eugene Smith

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0012887 Issued in CO

Practice address

680 E Hospital Dr
Cortez, CO 81321-6200

Phone

(970) 564-1122

NPI assigned

Dec 31, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1346586955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 FLORIDA RD APT 9",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813016207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E HOSPITAL DR",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813216200",
            "telephone_number": "970-564-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JARED",
        "middle_name": "EUGENE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-31",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0012887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jason Kent Smith, D.D.S.
• Kameo Lynnae Smith, D.O.
• Kendra D Smith, R.N.
• Sean Kerry Smith, PHARMD
• Southwest Colorado Mental Health Center Inc Dba Axis Health System

• Physical Therapy Assistant in Cortez, CO
• Providers in Cortez, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.