Individual provider Active NPI

Kathleen Jeanne Smith, PT, DPT

  • Physical Therapist
  • Victor, NY
National Provider Identifier
1376829168
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0341191 Issued in NY
Practice address
6534 Anthony Dr Ste C
Victor, NY 14564-1421
Phone
(585) 869-5140
Fax
(585) 869-5142
NPI assigned
Oct 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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 0341191 NY Primary

Addresses

Primary practice location

6534 Anthony Dr Ste C
Victor, NY 14564-1421

Mailing address

6534 Anthony Dr Ste C
Victor, NY 14564-1421
Phone (585) 869-5140

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120423000001 NY Practitioner - Physical Therapist in Private Practice 4082875810 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Limitless Physical Therapy PCGroup PAC ID 5991967846, 32 clinicians

Practice addresses (Care Compare)

6534 Anthony Dr
Suite C
Victor, NY 14564-1421
Phone (585) 869-5140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0341191NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Limitless Management Services, LLC CurrentSince Feb 19, 2026 Accepting new patients
Limitless Physical Therapy PC CurrentSince Nov 1, 2022 Accepting new patients
Brownstone Physical Therapy, P.C. CurrentSince Aug 24, 2015 Accepting new patients
Lattimore of Geneseo Physical Therapy PC Physical Therapist Past Accepting new patients
Shuman Physical Therapy Associates, P.C. Physical Therapist PastSince Jul 29, 2020 Accepting new patients

Locations

1900 State Route 31
Ste 12
Macedon, NY 14502
Phone (315) 331-3784

2561 Lac de Ville Blvd
Ste 100
Rochester, NY 14618
Phone (585) 473-1290

6534 Anthony Dr
Ste C
Victor, NY 14564
Phone (585) 869-5140

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1376829168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6534 ANTHONY DR STE C",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641421",
            "telephone_number": "585-869-5140",
            "fax_number": "585-869-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6534 ANTHONY DR STE C",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641421",
            "telephone_number": "585-869-5140",
            "fax_number": "585-869-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATHLEEN",
        "middle_name": "JEANNE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0341191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.