Active NPI
Karla Smith, PT
- Physical Therapist
- Superior, WI
National Provider Identifier
1477032225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14330
- Practice address
- 1915 N 34TH St
Superior, WI 54880-5575 - Phone
- (715) 399-3287
- NPI assigned
- Aug 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11213 | MN | |
| Physical Therapist | 225100000X | 14330 | WI | Primary |
Addresses
Primary practice location
1915 N 34TH St
Superior, WI 54880-5575
Mailing address
10653 Wayzata Blvd
Minnetonka, MN 55305-1528
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14330 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1477032225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10653 WAYZATA BLVD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 N 34TH ST",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548805575",
"telephone_number": "715-399-3287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KARLA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-13",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "11213",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "14330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Superior, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.