Active NPI
Robin Powe Smith, PT,DPT
- Pediatric Physical Therapist
- Olive Branch, MS
National Provider Identifier
1669496451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT2713
- Practice address
- 5600 Goodman Rd Ste D
Olive Branch, MS 38654-7002 - Phone
- (662) 895-4545
- Fax
- (662) 895-4546
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT2713 | MS | Primary |
Addresses
Primary practice location
5600 Goodman Rd Ste D
Olive Branch, MS 38654-7002
Mailing address
5600 Goodman Rd Ste D
Olive Branch, MS 38654-7002
Phone (662) 895-4545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00124215 | Medicaid | MS |
Other names 1
- Ms. Robin Leann Powe
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2713 | MS | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669496451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 GOODMAN RD STE D",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386547002",
"telephone_number": "662-895-4545",
"fax_number": "662-895-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 GOODMAN RD STE D",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386547002",
"telephone_number": "662-895-4545",
"fax_number": "662-895-4546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ROBIN",
"middle_name": "POWE",
"name_prefix": "Mrs.",
"credential": "PT,DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MS",
"license": "PT2713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00124215",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBIN",
"last_name": "POWE",
"middle_name": "LEANN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Olive Branch, MS
- Julia Lynn Smith, FNP
- Kenyecta D Smith, P-LPC
- Lisa Ann Smith, LCSW
- Marsheka Varcha Smith, RN
- Mary Elizabeth Smith, P-LPC, LAC
- Southern Pain and Regenerative Medicine PC
- Southern Vascular and Pain Surgery Center Olive Branch LLC
- Southland Wellness PLLC
- Spartan Orthopaedics, LLC
- Marecia Mreana Spearman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.