Lizz Vanwilgen Smith, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

014141-0 Issued in NY

Practice address

1133 Broadway Ste 1211
New York, NY 10010-7963

Phone

(917) 912-3980

NPI assigned

Jan 6, 2017

Last updated

Oct 17, 2022By 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 2

Addresses

Other names 1

• Elizabeth Vanwilgen Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• National Institute for the Psychotherapies Training Institute

  • School Psychologist
  • New York, NY
  • NPI 1083834345
  NPD (past)

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1477099000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 PIERREPONT ST APT 8C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012840",
            "telephone_number": "917-912-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 BROADWAY STE 1211",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107963",
            "telephone_number": "917-912-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LIZZ",
        "middle_name": "VANWILGEN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "014141-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SMITH",
            "middle_name": "VANWILGEN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Kathryn Smith, MD
• Lauren P Smith, PT, DPT
• Lawrence W. Smith, M.D.
• Lily Smith
• Lizette J Smith, M.D.
• Lou Ann Smith, L.C.S.W.
• Lucas Joseph Smith, MD
• Lucy Bradley Smith
• Madeline Elizabeth Smith
• Makia Smith

• Orthopedic Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.