Active NPI
Dorothy Smith, DPT, PT
- Physical Therapist
- Merritt Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 42289
- Practice address
- 220 N Sykes Creek Pkwy Ste 201
Merritt Island, FL 32953-3490 - Phone
- (321) 521-1161
- Fax
- (321) 521-1161
- NPI assigned
- Nov 10, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 36023 | CA | |
| Physical Therapist | 225100000X | 11191 | CO | |
| Physical Therapist | 225100000X | 42289 | FL | Primary |
Addresses
Primary practice location
220 N Sykes Creek Pkwy Ste 201
Merritt Island, FL 32953-3490
Mailing address
100 E 2ND Ave Ste 210
Rome, GA 30161-1718
Phone (321) 521-1161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Virginia Commonwealth University, School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2030 S Patrick Dr
Suite 3
Indian Harbour Beach, FL 32937-4400
Phone (321) 622-5707
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11191 | CO | MD | Mental Health Counselor |
| 36023 | CA | MD | Physical Therapist |
| 42289 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Total Function Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
Locations
2030 South Patrick Dr
Ste 3
Indian Harbour Beach, FL 32937
Phone (321) 622-5707
301 Ocean Ave
Ste 2
Melbourne Beach, FL 32951
Phone (321) 622-5707
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Indian Harbour Beach, FL
- NPI 1144937012
Physical Therapist
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1902571490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1497082671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E 2ND AVE STE 210",
"city": "ROME",
"state": "GA",
"postal_code": "301611718",
"telephone_number": "321-521-1161",
"fax_number": "321-521-1161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N SYKES CREEK PKWY STE 201",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329533490",
"telephone_number": "321-521-1161",
"fax_number": "321-521-1161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DOROTHY",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-10",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "36023",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "11191",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "42289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merritt Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.