Stephanie Cerie Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5544 Issued in AZ

Practice address

17233 N Holmes Blvd
Ste 1650
Phoenix, AZ 85053-2018

Phone

(602) 547-0809

Fax

(602) 467-8677

NPI assigned

Aug 31, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Strength Training Inc

  • Customized Equipment (DME)
  • Phoenix, AZ
  • NPI 1356552996
  NPD (past)
• Strength Training Inc

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1518925569
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609988252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17233 N HOLMES BLVD",
            "address_2": "STE 1650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532018",
            "telephone_number": "602-547-0809",
            "fax_number": "602-467-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17233 N HOLMES BLVD",
            "address_2": "STE 1650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532018",
            "telephone_number": "602-547-0809",
            "fax_number": "602-467-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHANIE",
        "middle_name": "CERIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626377",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Smith
• Soraya Michelle Smith, MED
• Stacy Smith
• Star H. Smith
• Star Lorraine Smith
• Stephen Jerome Smith, EMT-B
• Stephen T Smith, MD
• Steven Smith
• Steven Robert Smith, LCSW
• Sydney Smith

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.