Wesley Ryan Smith

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-23447 Issued in FL

Practice address

1220 Crozet Ave
Crozet, VA 22932-3163

Phone

(434) 823-4307

NPI assigned

Jun 11, 2020

Last updated

Jun 11, 2020By the provider in NPPES

Sex

Male

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": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1609491091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 WOODED HAMLET CT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320846521",
            "telephone_number": "904-713-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 CROZET AVE",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229323163",
            "telephone_number": "434-823-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WESLEY",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA-23447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Roberson Scarbrough, OTR
• John C Schoeb, DDS
• Nicole Schroeer, BCBA
• Elizabeth Murphy Scott, LPC
• Jaclyn Marie Scott, LPC
• Sasha Lachelle Marie Spicer, NP
• Laura Melissa Stewart, L.C.S.W.
• Erica Stowe
• Brittany Sullivan
• Emery Folger Taylor Jr., D.D.S.

• Physical Therapy Assistant in Crozet, VA
• Providers in Crozet, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.