Kendra L. Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2097891 Issued in TX

Practice address

3920 W Park Ave
Orange, TX 77630-1756

Phone

(409) 920-4105

NPI assigned

Aug 4, 2023

Last updated

Aug 4, 2023By the provider in NPPES

Sex

Female

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Orange County Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Orange, TX
  • NPI 1346757929
  NPD

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1447932835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 N 118TH ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643643",
            "telephone_number": "402-509-5532",
            "fax_number": "402-625-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 W PARK AVE",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776301756",
            "telephone_number": "409-920-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KENDRA",
        "middle_name": "L.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2097891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SLP Orange LLC (Pinehurst Nursing and Rehabilitation)
• Jacie Layne Smith-Hyatt, CCC-SLP
• Chambree Smith, AGACNP
• Chloe Smith
• Jessica Lyn Smith, LMSW
• Tina Maria Smith, LPC
• Lisa Marie Richards Snider, M.ED., LPC
• Asem Souman, MD
• Southeast Texas Family Health & Wellness Center
• Southeast Texas Hospice

• Physical Therapy Assistant in Orange, TX
• Providers in Orange, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.