Karl Thomas Smiley, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

046373 Issued in NY

Practice address

3065 Southwestern Blvd
#108
Orchard Park, NY 14127

Phone

(716) 608-6730

Fax

(716) 608-6445

NPI assigned

Jan 13, 2021

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Gravino and Brown Physical Therapy, PLLCGroup PAC ID 7315350048, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Gravino & Brown Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Amherst, NY
  • NPI 1942721634

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Back 2 You Speech Language Pathology, PLLC

  • Speech-Language Pathologist
  • Buffalo, NY
  • NPI 1649930629

  Single Specialty

  NPD (past)
• Orchard Park Progressive Physical Therapy PLLC

  • Physical Therapist
  • West Seneca, NY
  • NPI 1760999668

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1649869785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 SOUTHWESTERN BLVD",
            "address_2": "#108",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-608-6730",
            "fax_number": "716-608-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 SOUTHWESTERN BLVD",
            "address_2": "#108",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-608-6730",
            "fax_number": "716-608-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILEY",
        "first_name": "KARL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05036773",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Sarah Slemmer
• John J Slisz, PA
• SLK Caregivers Inc. Dba Comfort Keepers
• Stephanie Margaret Small, ANP
• Stephanie Smigiera
• Julie Anne Smith-Frazier, SPECIAL EDUCATION
• Alan C Smith, MD
• Connor Smith, DPT
• Dylan F Smith, CASAC
• Emilie Smith, MS/CCC-SLP

• Physical Therapist in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.