Individual provider Active NPI

Kayle M Smith, DPT

  • Physical Therapist
  • Vandalia, OH
National Provider Identifier
1356909543
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016883 Issued in OH
Practice address
830 Falls Creek Dr
Vandalia, OH 45377-8600
Phone
(937) 890-9235
Fax
(937) 890-9239
NPI assigned
Jun 3, 2019
Last updated
Jul 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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 PT016883 OH Primary

Addresses

Primary practice location

830 Falls Creek Dr
Vandalia, OH 45377-8600

Mailing address

830 Falls Creek Dr
Vandalia, OH 45377-8600
Phone (937) 890-9235

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190709001618 OH Practitioner - Physical Therapist in Private Practice 2769717057 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Ohio University, College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

715 Congress Park Dr
Centerville, OH 45459-4044
Phone (513) 802-1929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016883OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobility Fit Physical Therapy LLC Physical Therapist CurrentSince Dec 12, 2022 Accepting new patients
Xcel Physical Therapy LLC Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
Mobility Fit Physical Therapy, LLC Physical Therapist CurrentSince Dec 12, 2022 Accepting new patients

Locations

515 E Main St
Ste D
Anna, OH 45302
Phone (937) 639-2063

2080 Beaver Valley Rd
Beavercreek, OH 45434
Phone (513) 802-1929

11125 Kenwood Rd
Blue Ash, OH 45242
Phone (513) 791-4040

801 W Main St
Lebanon, OH 45036
Phone (513) 491-0888

830 Falls Creek Dr
Vandalia, OH 45377
Phone (937) 890-9235

715 Congress Park Dr
Washington Township, OH 45459
Phone (513) 802-1929

7753 Cox Ln
West Chester, OH 45069
Phone (303) 710-0515

7782 Service Center Dr
West Chester, OH 45069
Phone (303) 710-0515

8742 Union Centre Blvd
Ste 3
West Chester, OH 45069

Organizations & group practices 3

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": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1356909543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 FALLS CREEK DR",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453778600",
            "telephone_number": "937-890-9235",
            "fax_number": "937-890-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 FALLS CREEK DR",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453778600",
            "telephone_number": "937-890-9235",
            "fax_number": "937-890-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAYLE",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT016883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.