Active NPI
Todd D Smith, MPT
- Physical Therapist
- Lehigh Acres, FL
National Provider Identifier
1598957672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT22804
- Practice address
- 743 Newhall St E
Lehigh Acres, FL 33974-9411 - Phone
- (239) 369-1755
- NPI assigned
- Aug 13, 2007
- Sex
- Male
- 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 | PT22804 | FL | Primary |
Addresses
Primary practice location
743 Newhall St E
Lehigh Acres, FL 33974-9411
Mailing address
743 Newhall St E
Lehigh Acres, FL 33974-9411
Phone (239) 369-1755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT22804 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186963200000",
"number": "1598957672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "743 NEWHALL ST E",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339749411",
"telephone_number": "239-369-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 NEWHALL ST E",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339749411",
"telephone_number": "239-369-1755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TODD",
"middle_name": "D",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-13",
"last_updated": "2007-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT22804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.