Kyle Austin Smith

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT34895 Issued in FL

Practice address

470 Malabar Rd SE Unit 102
Palm Bay, FL 32907-3124

Phone

(321) 802-9645

NPI assigned

May 10, 2021

Sex

Male

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)

Enrolled

State licenses

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1538743299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 KNOLLWOOD CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328043433",
            "telephone_number": "321-213-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 MALABAR RD SE UNIT 102",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073124",
            "telephone_number": "321-802-9645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8045 Spyglass Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329408567",
            "country_code": "US",
            "telephone_number": "321-757-5515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KYLE",
        "middle_name": "AUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Jean Smith
• Delia A. Smith, M.D.
• Erin Eileen Smith, MA-CCC-SLP
• Heidi Smith
• Judy Ann Smith
• Mary Lou S Smith, N.P.
• Rebecca N Smith
• Sabrina Lynn Smith, RN
• Tatiana Smith, RBT
• Kasey Elizabeth Snow, PA-C

• Physical Therapist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.