Jamar Domonic Smith, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23635 Issued in MD

Practice address

2810 Walters Lane Suite 100
District Heights, MD 20747

Phone

(301) 965-0348

Fax

(202) 318-8492

NPI assigned

May 24, 2011

Last updated

May 2, 2018By the provider in NPPES

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kinofit Physical Therapy PLLC

  • Physical Therapist
  • Tampa, FL
  • NPI 1508305152
  Medicare reassignment Authorized official
• Excelsia Physicians Group LLC

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1659086361
  NPD (past)
• Sports Pro Physical Therapy LLC

  • Physical Therapist
  • Upper Marlboro, MD
  • NPI 1285611608
  NPD (past)

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1568755585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 MALCOLM X AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20032",
            "telephone_number": "301-965-0348",
            "fax_number": "202-318-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 WALTERS LANE SUITE 100",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "20747",
            "telephone_number": "301-965-0348",
            "fax_number": "202-318-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMAR",
        "middle_name": "DOMONIC",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-24",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SLD Services
• Lavangela Smith Bucknot
• Adrienne C Smith, LGPC
• Alexandria Smith
• Clarsee R Smith
• Kennysha Smith
• Nerissa Snyder Dicks, EDD, NCC, LPC, LCPC
• Waltrina J Stancell, LPC
• Jimmie Stubbs
• Success Is Yours

• Physical Therapist in District Heights, MD
• Providers in District Heights, MD by specialty
• Physical Therapist in Maryland

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

Verify at the official NPI Registry.