Samantha Lakey Smith, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT-1897 Issued in ID

Practice address

1812 N Midland Blvd
Nampa, ID 83651-1747

Phone

(208) 442-2525

Fax

(208) 442-2505

NPI assigned

May 6, 2010

Last updated

May 6, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Idaho Therapy Source

  • Occupational Therapist
  • Nampa, ID
  • NPI 1235461732
  NPD (past)
• Rehabauthority, LLC

  • Multi-Specialty Clinic/Center
  • Grand Forks, ND
  • NPI 1730159690

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1538487194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 N MIDLAND BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511747",
            "telephone_number": "208-442-2525",
            "fax_number": "208-442-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 N MIDLAND BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511747",
            "telephone_number": "208-442-2525",
            "fax_number": "208-442-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SAMANTHA",
        "middle_name": "LAKEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "ID",
            "license": "PT-1897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Myers Smith, LPC
• Mitchell Thomas Smith, MS, LPC
• Nichole Leann Smith, CPT
• Preston S Smith, PA-C
• Quinn J Smith, DMD
• Sydney Cascade Smith, LMT
• Taylor Daisy Smith
• Alicia Smylie, L.M.T.
• Brian Doxey Snow, D.O.
• E. Fred Snow, LCPC

• Pediatric Physical Therapist in Nampa, ID
• Providers in Nampa, ID by specialty
• Pediatric Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.