Active NPI
Stephanie Lynn Everitt-Smith, PHD, PT
- Physical Therapist
- Fort Smith, AR
National Provider Identifier
1508097189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1591
- Practice address
- 4500 Old Greenwood Rd
Fort Smith, AR 72903-6417 - Phone
- (479) 646-5700
- NPI assigned
- Jul 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1591 | AR | Primary |
Addresses
Primary practice location
4500 Old Greenwood Rd
Fort Smith, AR 72903-6417
Mailing address
245 Cahaba Valley Pkwy
Suite 200
Pelham, AL 35124-2216
Phone (205) 942-6820
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1591 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1508097189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 CAHABA VALLEY PKWY",
"address_2": "SUITE 200",
"city": "PELHAM",
"state": "AL",
"postal_code": "351242216",
"telephone_number": "205-942-6820",
"fax_number": "205-942-5884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 OLD GREENWOOD RD",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729036417",
"telephone_number": "479-646-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERITT-SMITH",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHD, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-30",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT1591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.