Michael S Smith, PTA

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

20-4308734 Issued in FL

Practice address

4161 Tamiami TRL Ste 704
Port Charlotte, FL 33952-9283

Phone

(941) 423-5600

NPI assigned

Feb 10, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Golden Touch Physical Therapy Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Port Charlotte, FL
  • NPI 1740229103
  NPD (past)

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1477944627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL STE 704",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529283",
            "telephone_number": "941-423-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL STE 704",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529283",
            "telephone_number": "941-423-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "FL",
            "license": "20-4308734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel W Smith, ATC
• Joletta A Smith
• Karen A Smith, RN
• Kevin E Smith, MD
• Lindsey Smith
• Teresa Smith
• Warren Smith, CRNA
• Donna Lynn Smolinski, D.M.D.
• SNH SE Tenant TRS, Inc
• Kirk J Snyder, DMD

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.