Active NPI
Morgan Smith, LAT, ATC
- Sports Medicine (Preventive Medicine) Physician
- Mechanicsville, VA
National Provider Identifier
1629563242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Preventive Medicine) Physician
- License
- 0126003001
- Practice address
- 8200 Meadowbridge Rd Ste 200
Mechanicsville, VA 23116-2337 - Phone
- (804) 730-2121
- NPI assigned
- Jun 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | 0126003001 | VA | Primary |
Addresses
Primary practice location
8200 Meadowbridge Rd Ste 200
Mechanicsville, VA 23116-2337
Mailing address
75 Fern Oak Cir Apt 201
Stafford, VA 22554-8459
Phone (301) 775-1552
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126003001 | VA | MD | Sports Medicine (Preventive Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1629563242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FERN OAK CIR APT 201",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225548459",
"telephone_number": "301-775-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 MEADOWBRIDGE RD STE 200",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231162337",
"telephone_number": "804-730-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MORGAN",
"name_prefix": "Ms.",
"credential": "LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-26",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "2083S0010X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Preventive Medicine, Sports Medicine",
"state": "VA",
"license": "0126003001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.