Active NPI
Gwendolyn Kay Smith, P.T.
- Physical Therapist
- Ft Carson, CO
National Provider Identifier
1508875493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21873
- Practice address
- Evans Army Community Hospital
1650 Cochrane Cir Bldg7500
Ft Carson, CO 80913 - Phone
- (719) 524-6616
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 21873 | MD | Primary |
Addresses
Primary practice location
Evans Army Community Hospital
1650 Cochrane Cir Bldg7500
Ft Carson, CO 80913
Mailing address
Evans Army Community Hospital
1650 Cochrane Cir Bldg7500
Ft Carson, CO 80913
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21873 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1508875493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EVANS ARMY COMMUNITY HOSPITAL",
"address_2": "1650 COCHRANE CIR BLDG7500",
"city": "FT CARSON",
"state": "CO",
"postal_code": "80913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EVANS ARMY COMMUNITY HOSPITAL",
"address_2": "1650 COCHRANE CIR BLDG7500",
"city": "FT CARSON",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-524-6616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "GWENDOLYN",
"middle_name": "KAY",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.