Nicole Bailey Smith, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

03536 Issued in IA

Practice address

820 W Summit St
Winterset, IA 50273-2206

Phone

(515) 462-1999

Fax

(515) 462-1191

NPI assigned

Jul 11, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Athletico LTD

  • Clinic/Center
  • Des Moines, IA
  • NPI 1871900985

  Physical Therapist

  NPD (past)
• Millennium Rehab & Consulting, Inc.

  • Physical Therapist
  • Des Moines, IA
  • NPI 1255385852
  NPD (past)
• Therapy Services of Iowa Inc

  • Physical Therapist
  • Des Moines, IA
  • NPI 1407801228
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1508864950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 MERLE HAY RD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503221983",
            "telephone_number": "155-331-3190",
            "fax_number": "515-462-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W SUMMIT ST",
            "city": "WINTERSET",
            "state": "IA",
            "postal_code": "502732206",
            "telephone_number": "515-462-1999",
            "fax_number": "515-462-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICOLE",
        "middle_name": "BAILEY",
        "name_prefix": "Mrs.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "I7658",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Salton, PHARMD
• Kristi Schreur, PHARM D
• Shopko Stores Operating Co LLC
• Mashaylia D Sifrit
• Erin Simpson
• Stuart Hoven Chiropractic, P.C.
• Jonathan M. Suddarth, DO
• Summit Dental PLC
• Jeffrey McKean Swan, P.A.-C
• Abby M. Thomas, O.D.

• Physical Therapist in Winterset, IA
• Providers in Winterset, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.