Kendal Smith

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI005065 Issued in PA

Practice address

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027

Phone

(570) 808-7300

NPI assigned

Sep 26, 2025

Last updated

Oct 24, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

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": "1758844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1598638389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N THOMAS AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045511",
            "telephone_number": "570-592-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MOUNTAIN BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187110027",
            "telephone_number": "570-808-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KENDAL",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI005065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Alexa Smith
• Brent Tyler Smith, NP
• Brianna Smith, LCSW
• Cameron Tyler Smith, DO
• Jennifer Smith, BA PSYCH
• Laura C. Smith, CRNP
• Scott M Smith, L.S.W.
• Gary Ralph Snedeker, RPH
• Felicia Kay Snyder, PHARMD
• Gregory Daniel Snyder, CRNP, NP-C

• Physical Therapy Assistant in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.