Kayla Michelle Smith, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4894 Issued in AR

Practice address

1409 Highway 62 65 N Ste 4
Harrison, AR 72601-1970

Phone

(870) 704-4076

Fax

(870) 741-0089

NPI assigned

Jun 19, 2020

Last updated

May 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kayla Michele Leal Former name

Medicare fee-for-service enrollment

Enrolled in AR, MO2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

6574Bravo LLCGroup PAC ID 3274057450, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 6574Bravo LLC

  dba Physiohaus

  • Physical Therapy Clinic/Center
  • Harrison, AR
  • NPI 1679373237

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Serc Rehabilitation Partners, LLC

  dba Serc

  • Physical Therapist
  • Belton, MO
  • NPI 1760745244

  AR

  Medicare reassignment NPD
• Serc Rebabilitation Partners, LLC

  • Physical Therapist
  • Overland Park, KS
  • NPI 1598190209
  NPD

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1689290280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7212",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 HIGHWAY 62 65 N STE 4",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726011970",
            "telephone_number": "870-704-4076",
            "fax_number": "870-741-0089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Mall Rd Ste K",
            "address_purpose": "LOCATION",
            "city": "Hollister",
            "state": "MO",
            "postal_code": "656729603",
            "country_code": "US",
            "telephone_number": "417-263-3045",
            "fax_number": "417-730-1430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAYLA",
        "middle_name": "MICHELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2022017736",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "LEAL",
            "middle_name": "MICHELE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Rose Smith, NP-C
• Asa Dean Smith, APRN
• Dalton Alan Smith, PT, DPT, ATC
• Jessica Smith, MHPP
• Justin Brett Smith, APRN
• Kiley Smith, PHARM D
• Pamela Ann Smith
• Valerie Anne Smithee, MCD, CCC-SLP
• Kaysi Smothers, MHP, RN
• Melanie Lorraine Solorzano, CFN-P

• Physical Therapist in Harrison, AR
• Providers in Harrison, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.