Alexander Smatrov

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3827 Issued in SC

Practice address

127 Murrah Dr
Rock Hill, SC 29732-2390

Phone

(980) 205-3078

NPI assigned

Sep 14, 2023

Last updated

Sep 14, 2023By the provider in NPPES

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

• Aliaksandr Smatrov 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": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1477330298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 GLEN LAUREL DR",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297078003",
            "telephone_number": "980-205-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MURRAH DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322390",
            "telephone_number": "980-205-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMATROV",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "3827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALIAKSANDR",
            "last_name": "SMATROV",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Albert Slafka, COTA/L
• Sleepmed Therapies, Inc.
• Marie Ruth Sliker, PTA
• Jeffrey Clyde Sloan, M.D.
• Khamiyah Smalls
• Melecia Nicolene Smikle, APRN
• Andrea G Smith, SLP
• Catina Smith
• Charles Albert Smith
• Choleia Smith

• Physical Therapy Assistant in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.