Phillip Joseph Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2001024950 Issued in MO

Practice address

303 N Keene St
Ste 102
Columbia, MO 65201-7193

Phone

(573) 443-0225

Fax

(573) 443-0250

NPI assigned

Oct 2, 2007

Last updated

Nov 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Central Missouri Physical Therapy LLC

  dba Peak Sport and Spine

  • Physical Therapist
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  • NPI 1558436592
  Authorized official Same address or phone
• Orthopaedic Home Health, LLC

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  • Home Health Agency
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  • NPI 1033406939
  NPD (past)
• Westside Rehab, Inc

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  • Laurie, MO
  • NPI 1689768855
  NPD (past)
• Northwest Physical Therapy and Sports Rehab, LLC

  • Physical Therapy Clinic/Center
  • Woodward, OK
  • NPI 1497067771

  Physical Therapist

  NPD (past)
• Performance Rehab, LLC

  • Physical Therapy Clinic/Center
  • Overland Park, KS
  • NPI 1538184536

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480032000000",
    "number": "1386831485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N KEENE ST",
            "address_2": "STE102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017193",
            "telephone_number": "573-443-0225",
            "fax_number": "573-443-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N KEENE ST",
            "address_2": "STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017193",
            "telephone_number": "573-443-0225",
            "fax_number": "573-443-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PHILLIP",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2016-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2001024950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshall Baird Smith, DC
• Mary Leah Smith, MD
• Matthew J Smith, M.D.
• Monchelle Smith, LPN
• Pamela Louise Smith, PHD, FNP, RN
• Raven Joshlyn Smith
• Robert R Smith, PA-C
• Ross Stratton Smith, MD
• Sarah J.S. Smith, AUD, CCC-A
• Cynthia Nicole Smoot, LPC, LMFT

• Physical Therapist in Columbia, MO
• Providers in Columbia, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2016; 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.