Active NPI
Kimberly Smith-Olson, PT
- Physical Therapist
- Orlando, FL
National Provider Identifier
1457031098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6533
- Practice address
- 4098 Libra Dr RM 114
Orlando, FL 32816-8026 - Phone
- (407) 823-0377
- NPI assigned
- Jul 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6533 | FL | Primary |
Addresses
Primary practice location
4098 Libra Dr RM 114
Orlando, FL 32816-8026
Mailing address
4098 Libra Dr RM 114
Orlando, FL 32816-8026
Phone (407) 823-0377
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1457031098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4098 LIBRA DR RM 114",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328168026",
"telephone_number": "407-823-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4098 LIBRA DR RM 114",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328168026",
"telephone_number": "407-823-0377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH-OLSON",
"first_name": "KIMBERLY",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-19",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT6533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
- Patricia Eileen Smith - Martin, PT
- Joshua Francois Smith-Benson, PHARMD
- Amelia Alicia Smith-Dixon, M.D.
- Tonya Sharelle Smith-Jackson, OTR/L, CLT-LANA
- Cheryll N. Smith-Martinez, MD
- Ciara Smith-Vazquez, M.S., CCC-SLP
- Nidia Alicia Smith-Villanueva
- Adelaide Chloe Smith, NP-C
- Aileen E Smith, DMD
- Akayla Larren Smith
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.