Active NPI
Kayleigh Smith, PT, DPT
- Physical Therapist
- Cordova, TN
National Provider Identifier
1558734525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10640
- Practice address
- 36 Bazeberry Rd
Cordova, TN 38018-7754 - Phone
- (901) 758-0036
- NPI assigned
- Nov 12, 2015
- Last updated
- Nov 12, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 10640 | TN | Primary |
Addresses
Primary practice location
36 Bazeberry Rd
Cordova, TN 38018-7754
Mailing address
36 Bazeberry Rd
Cordova, TN 38018-7754
Phone (901) 758-0036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5911 McCrimmon Pkwy
Suite 2a
Morrisville, NC 27560-5944
Phone (919) 473-6033
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 33 Health Opnc LLC | Physical Therapist | Current | Accepting new patients |
Locations
421 Overlook Road Ext
Arden, NC 28704
Phone (828) 483-3521
105 S Mangum St
#201
Durham, NC 27701
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1558734525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 BAZEBERRY RD",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380187754",
"telephone_number": "901-758-0036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 BAZEBERRY RD",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380187754",
"telephone_number": "901-758-0036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KAYLEIGH",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-12",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "10640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.