Active NPI
Jesse Newbaker Smartt, DPT
- Physical Therapist
- North Chesterfield, VA
National Provider Identifier
1366891897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305210317
- Practice address
- 7400 Beaufont Springs Dr
Suite 120
North Chesterfield, VA 23225-5556 - Phone
- (804) 320-2220
- NPI assigned
- Jun 6, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305210317 | VA | Primary |
Addresses
Primary practice location
7400 Beaufont Springs Dr
Suite 120
North Chesterfield, VA 23225-5556
Mailing address
7400 Beaufont Springs Dr
Suite 120
North Chesterfield, VA 23225-5556
Phone (804) 320-2220
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2305210317 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1366891897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 BEAUFONT SPRINGS DR",
"address_2": "SUITE 120",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232255556",
"telephone_number": "804-320-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 BEAUFONT SPRINGS DR",
"address_2": "SUITE 120",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232255556",
"telephone_number": "804-320-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMARTT",
"first_name": "JESSE",
"middle_name": "NEWBAKER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-06",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305210317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.