Active NPI
Elton Lamar Smith Jr.
- Physical Therapist
- Oklahoma City, OK
National Provider Identifier
1386560753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7151
- Practice address
- 8133 NW 74TH St
Oklahoma City, OK 73132-3757 - Phone
- (405) 316-0834
- NPI assigned
- Jun 29, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Physical Therapist | 225100000X | 7151 | OK | Primary |
Addresses
Primary practice location
8133 NW 74TH St
Oklahoma City, OK 73132-3757
Mailing address
8133 NW 74TH St
Oklahoma City, OK 73132-3757
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1386560753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8133 NW 74TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731323757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8133 NW 74TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731323757",
"telephone_number": "405-316-0834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ELTON",
"middle_name": "LAMAR",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-29",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "7151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.