Edwin Smith

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4362 Issued in AR

Practice address

992 Links Dr Apt 8
Jonesboro, AR 72404-0791

Phone

(501) 216-8023

NPI assigned

Apr 25, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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": "1429920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1578950762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 LINKS DR APT 8",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724040791",
            "telephone_number": "501-216-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 LINKS DR APT 8",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724040791",
            "telephone_number": "501-216-8023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Parkdale Rd",
            "address_purpose": "LOCATION",
            "city": "Sherwood",
            "state": "AR",
            "postal_code": "721202329",
            "country_code": "US",
            "telephone_number": "501-216-8023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EDWIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-25",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "4362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie M Smith
• Christy S Smith, LMSW
• Corleshia Smith
• David Smith, MHPP
• Debbie Sue Smith, PTA
• Effie Smith
• Emily Smith, RBT
• Erica Danette Smith, M.D.
• Ericka Heather Smith, PTA
• Erin E Smith, OTRL

• Physical Therapy Assistant in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.