Kristin Paige Smith, PT, RD

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

000-0002562 Issued in VT

Practice address

1 Kennedy Dr
Ste L8
South Burlington, VT 05403-7165

Phone

(802) 863-2013

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

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.

• Leclair Therapy, Inc.

  • Physical Therapist
  • Essex JCT, VT
  • NPI 1821002189
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1528182300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ARLINGTON GRN",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KENNEDY DR",
            "address_2": "STE L8",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037165",
            "telephone_number": "802-863-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTIN",
        "middle_name": "PAIGE",
        "credential": "PT, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VT",
            "license": "867109",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "000-0002562",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011280",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Micheal R Sirois, M.D.
• Jessica M Sisto, M.D.
• Benjamin D. Skolnik, PSY.D.
• Christopher Mark Sloane, MA, LCMHC, LADC
• Christopher John Smart, DDS
• Lindsay Peet Smith, M.D.
• Mbuyi Marie-Claire Smith, FNP-BC
• Sheilagh Smith, LCMHC
• Stephanie M Smith, RD, LDN, CDN
• Kathryn E Smythe

• Physical Therapist in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.