Jeannette Smith

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

21111 Issued in FL

Practice address

200 Avenue K SE Apt 228
Winter Haven, FL 33880-4054

Phone

(904) 652-6463

NPI assigned

Feb 13, 2013

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

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1548509318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AVENUE K SE APT 228",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804054",
            "telephone_number": "904-652-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVENUE K SE APT 228",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804054",
            "telephone_number": "904-652-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "21111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smiles of Winter Haven, PLLC
• Wendy Smiley
• Smith Business Trust, Cto (Smith Clinic of Chiropractic)
• Chris Smith
• Herman George Smith II, D.C.
• Kara Smith, LMHC
• Kinsey Smith, PHARMD
• Kristen Michele Smith, B.S. HUMAN SERVICES
• Ladonna Smith
• Laniasha Smith

• Physical Therapy Assistant in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.