Individual provider Active NPI

Steven Smith, PT

  • Athletic Trainer
  • Orange Park, FL
National Provider Identifier
1366533473
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL466 Issued in FL
Practice address
540 Kingsley Ave
Orange Park, FL 32073-4847
Phone
(904) 264-2156
NPI assigned
Sep 27, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT14223 FL
Athletic Trainer 2255A2300X AL466 FL Primary

Addresses

Primary practice location

540 Kingsley Ave
Orange Park, FL 32073-4847

Mailing address

11625 NW 16TH PL
Gainesville, FL 32606-1410
Phone (352) 332-0464

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT14223FLMDPhysical Therapist
AL466FLMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida, LLC Physical Therapist Past Accepting new patients
H2 Rehabilitation Services of Florida, LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1366533473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11625 NW 16TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326061410",
            "telephone_number": "352-332-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734847",
            "telephone_number": "904-264-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEVEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT14223",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.