Elliot Victor Smithson, DPT, ATC, EMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

298206 Issued in CA

Practice address

401 S Camden Dr Apt 8
Beverly Hills, CA 90212-4263

Phone

(407) 415-3712

NPI assigned

Feb 27, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Emergency Medical Technician

State licenses

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1609400688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 SPRING RUN CIR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327795029",
            "telephone_number": "407-415-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S CAMDEN DR APT 8",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124263",
            "telephone_number": "407-415-3712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "955 Carrillo Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900485400",
            "country_code": "US",
            "telephone_number": "310-854-0529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITHSON",
        "first_name": "ELLIOT",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "DPT, ATC, EMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-27",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298206",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "35555",
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "FL",
            "license": "554022",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "3532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrel J Smith, PSY.D.
• Katherine Wilson Smith, PSYD
• Marlisha Smith, DNP
• Melissa Lashield Smith, MS
• Zoe Indigo Smith, MD
• Snah Healthcare Software MGT
• Craig Dallas Snyder, PH.D.
• Jeffrey Joon-Bum So, MS, PA-C
• Julianne Mae Sobel, PSY.D.
• Melinda R Sobel, MFT

• Physical Therapist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.