Lukas B Smillie, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501020126 Issued in MI

Practice address

5400 Mackinaw Rd
Saginaw, MI 48604-9515

Phone

(989) 583-5140

NPI assigned

Oct 20, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1649933128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 E RIVER RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486239455",
            "telephone_number": "989-239-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 MACKINAW RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049515",
            "telephone_number": "989-583-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILLIE",
        "first_name": "LUKAS",
        "middle_name": "B",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501020126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lukas.smillie@chs-mi.com",
            "affiliation": "N",
            "address_1": "5400 Mackinaw Rd",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486049515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaitlynn Small
• Vickie Small
• Jennifer Lynn Smalley-Huber, O.D.
• Smart Hearing Solutions LLC
• Bryan Christopher Smigill, SLP
• Melissa Kay Smillie, PA
• Aaron K Smith, MD
• Alexus Orion Smith
• Alicia Smith
• Aubreon Monique Smith, LLMSW

• Physical Therapist in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.