Kyle A Smith, MPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 20882 Issued in CA

Practice address

270 Penn Way
Los Gatos, CA 95032-2618

Phone

(408) 356-0992

Fax

(408) 356-0994

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1437198108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 PENN WAY",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322618",
            "telephone_number": "408-356-0992",
            "fax_number": "408-356-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PENN WAY",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322618",
            "telephone_number": "408-356-0992",
            "fax_number": "408-356-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KYLE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MPT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 20882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Tis Sleeth, CMT, MA
• Michael Slone
• Ralph L Smathers, M.D.
• Edward John Smith, LMFT
• John Philip Smith, MD
• Lindsay Smith, LCSW
• SNF Properties, Inc.
• Annette Soby
• Thant Zin Soe, DPT
• Phaylin Sok

• Physical Therapist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.