Active NPI
Lawrence Smyle, P.T
- Physical Therapist
- South San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CA9873
- Practice address
- 443 Grand Ave
South San Francisco, CA 94080-3635 - Phone
- (650) 588-9668
- Fax
- (415) 839-3077
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CA9873 | CA | Primary |
Addresses
Primary practice location
443 Grand Ave
South San Francisco, CA 94080-3635
Mailing address
443 Grand Ave
South San Francisco, CA 94080-3635
Phone (650) 588-9668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 611781300 | Other | CA | ACS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
443 Grand Ave
South San Francisco, CA 94080-3635
Phone (650) 588-9668
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA9873 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Snehshakti Corporation | Physical Therapist | Current | Accepting new patients |
Locations
443 Grand Ave
South San Francisco, CA 94080
Phone (650) 558-9668
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- South San Francisco, CA
- NPI 1922083864
-
- Physical Therapist
- Union City, CA
- NPI 1861961492
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1659434900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 GRAND AVE",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940803635",
"telephone_number": "650-588-9668",
"fax_number": "415-839-3077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "443 GRAND AVE",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940803635",
"telephone_number": "650-588-9668",
"fax_number": "415-839-3077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMYLE",
"first_name": "LAWRENCE",
"name_prefix": "Mr.",
"credential": "P.T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "CA9873",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS",
"identifier": "611781300",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.