Smith Physical Therapy and Performance Studio, Apc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SMITH PHYSICAL THERAPY AND PERFORMANCE STUDIO, APC

Practice address

7433 Herschel Ave Ste 2
La Jolla, CA 92037-5175

Phone

(858) 683-3292

Fax

(858) 228-5956

NPI assigned

Jun 18, 2020

Organization subpart

No

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

Authorized official

Name

Kaylee Marie Smith, DPTNPI 1912362104

Title

Ceo, Doctor of Physical Therapy

Phone

(858) 683-3292

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaylee Smith, D.P.T.

  • Physical Therapist
  • Corona, CA
  • NPI 1912362104
  NPD Authorized official

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1457977142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7433 HERSCHEL AVE STE 2",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375175",
            "telephone_number": "858-683-3292",
            "fax_number": "858-228-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7433 HERSCHEL AVE STE 2",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375175",
            "telephone_number": "858-683-3292",
            "fax_number": "858-228-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH PHYSICAL THERAPY AND PERFORMANCE STUDIO, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KAYLEE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO, DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "858-683-3292",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sleep Disorders Associates
• Paige Victoria Sloane, PSY.D, LMFT, CADC
• Mark Slonim, M.D.
• Daniel Small
• Jacqueline Small, PA-C
• Charles Raymond Smith, M.D.
• David Gail Smith, M.D.
• David Jay Smith, M.D.
• Diana Jean Smith, MS PT
• Lorna Elizabeth Smith, MOTR/L

• Physical Therapy Clinic/Center in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.