David Laurence Smith, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT1902 Issued in ME

Practice address

283 Goose Rocks Rd
Kennebunkport, ME 04046-5102

Phone

(207) 229-5919

NPI assigned

Feb 27, 2007

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

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1679600548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 GOOSE ROCKS RD",
            "city": "KENNEBUNKPORT",
            "state": "ME",
            "postal_code": "040465102",
            "telephone_number": "207-286-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 GOOSE ROCKS RD",
            "city": "KENNEBUNKPORT",
            "state": "ME",
            "postal_code": "040465102",
            "telephone_number": "207-229-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "LAURENCE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "PT1902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carinne Osgood
• Julie Powell
• Rubedo Transitions LLC (Rubedo Transitions)
• Rita Schlegel, M.S. CCC-SLP
• Mark Daniel Simmons, LCPC/C
• Town of Kennebunkport Maine
• Richard D Tryon, LCSW
• Vermen M. Verallo-Rowell, M.D.

• Specialist in Kennebunkport, ME
• Providers in Kennebunkport, ME by specialty
• Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.