Active NPI
Shimeka Smith, D.P.T
- Physical Therapist
- Bowie, MD
National Provider Identifier
1639433238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 020955
- Practice address
- 15542 Peach Walker Dr
Bowie, MD 20716-1412 - Phone
- (301) 390-0200
- NPI assigned
- Jun 28, 2012
- Sex
- Female
- 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 | 020955 | PA | Primary |
Addresses
Primary practice location
15542 Peach Walker Dr
Bowie, MD 20716-1412
Mailing address
15542 Peach Walker Dr
Bowie, MD 20716-1412
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 |
|---|---|---|---|
| 020955 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1639433238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15542 PEACH WALKER DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207161412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15542 PEACH WALKER DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207161412",
"telephone_number": "301-390-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SHIMEKA",
"credential": "D.P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-28",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "020955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.