Kellie Smolenski, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT35065 Issued in FL

Practice address

13010 Metro Pkwy
Fort Myers, FL 33966-4701

Phone

(239) 561-1177

NPI assigned

Sep 6, 2019

Last updated

Sep 6, 2019By the provider in NPPES

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

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Focus Physical Therapy and Sports Medicine LLCGroup PAC ID 6800970500, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Focus Physical Therapy & Sports Medicine LLC

  • Physical Therapy Clinic/Center
  • Berlin, CT
  • NPI 1780868505
  Medicare reassignment Care Compare group
• Florida Fitness and Rehabilitation, Inc.

  • Physical Therapist
  • N Ft Myers, FL
  • NPI 1518931575
  NPD
• Aaron Manor Inc

  • Skilled Nursing Facility
  • Chester, CT
  • NPI 1245226521
  NPD (past)

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1588213136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 LYDALL RD",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061182048",
            "telephone_number": "401-864-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 METRO PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339664701",
            "telephone_number": "239-561-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLENSKI",
        "first_name": "KELLIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Marie Smith, FNP-C, APRN
• Stephen E Smith, M.D.
• Troy W Smith, PT
• Cornelis Smits, CRNA
• Jennifer Swenson Smock, MS
• Albert E Smolyar, MD
• Annamarie Smoyer, CRNA
• John Walter Smuch Jr., BS
• Julianna Farhoud Smyrnios, RN
• Bradford A Snead, M.D.

• Physical Therapist in Fort Myers, FL
• Providers in Fort Myers, 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 6, 2019; 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.