Individual provider Active NPI

Nicholas Smay, DPT

  • Physical Therapist
  • Killeen, TX
National Provider Identifier
1699149567
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1267530 Issued in TX
Practice address
5302 Janelle Dr
Killeen, TX 76549-5666
Phone
(254) 699-3933
Fax
(254) 526-8604
NPI assigned
Nov 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1267530 TX Primary
Physical Therapist 225100000X 5062 OK
Physical Therapist 225100000X 070021583 IL

Addresses

Primary practice location

5302 Janelle Dr
Killeen, TX 76549-5666

Mailing address

5302 Janelle Dr
Killeen, TX 76549-5666
Phone (254) 699-3933

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

LicenseStateTypeSpecialty
070021583ILMDPhysical Therapist
1267530TXMDPhysical Therapist
5062OKMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1699149567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 JANELLE DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495666",
            "telephone_number": "254-699-3933",
            "fax_number": "254-526-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 JANELLE DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495666",
            "telephone_number": "254-699-3933",
            "fax_number": "254-526-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMAY",
        "first_name": "NICHOLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1267530",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5062",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.