Organization Active NPI

SMR Medical Corp

  • Prosthetic/Orthotic Supplier
  • Port St Lucie, FL
National Provider Identifier
1649719956
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SMR MEDICAL CORP
Practice address
10024 S Federal Hwy
Port St Lucie, FL 34952-5625
Phone
(844) 416-9351
Fax
(844) 410-4490
NPI assigned
Feb 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Authorized official

Name
Suresh SukhrajNPI 1801252820
Title
Owner
Phone
(844) 416-9351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

10024 S Federal Hwy
Port St Lucie, FL 34952-5625

Mailing address

2262 SE Wald St
Port St Lucie, FL 34984-4739
Phone (844) 416-9351

National Provider Directory

National Provider Directory

Locations

10024 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 812-4475

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1649719956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 SE WALD ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349844739",
            "telephone_number": "844-416-9351",
            "fax_number": "844-410-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 S FEDERAL HWY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525625",
            "telephone_number": "844-416-9351",
            "fax_number": "844-410-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMR MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "SUKHRAJ",
        "authorized_official_first_name": "SURESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-416-9351"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.