Alonzo Smith

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

TE007422 Issued in PA

Practice address

305 Cherry St
Philadelphia, PA 19106-1803

Phone

(215) 877-5962

NPI assigned

Oct 18, 2007

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

Other names 1

• Alonzo Smith Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1467641050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7522 BROCKTON RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512825",
            "telephone_number": "215-877-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CHERRY ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191061803",
            "telephone_number": "215-877-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALONZO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "TE007422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALONZO",
            "last_name": "SMITH",
            "credential": "P.T.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aish Smith
• Aleshia Monique Smith
• Alexandra Smith, MOT, OTR/L
• Alisha R Smith
• Allyson Smith, PA-C
• Alyssa Smith
• Andrea M Smith, CNM
• Andrew Smith
• Angel Smith
• Angela Smith, CRNP

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.