Active NPI
William James Smith, PT, DPT, OCS, CSCS
- Physical Therapist
- Destrehan, LA
National Provider Identifier
1699420554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 09948
- Practice address
- 1972 Ormond Blvd
Destrehan, LA 70047-3818 - Phone
- (985) 307-0925
- NPI assigned
- Feb 18, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 09948 | LA | Primary |
Addresses
Primary practice location
1972 Ormond Blvd
Destrehan, LA 70047-3818
Mailing address
1532 Saint Andrew St Apt 302
New Orleans, LA 70130-5352
Phone (504) 256-4251
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 |
|---|---|---|---|
| 09948 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1699420554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1532 SAINT ANDREW ST APT 302",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701305352",
"telephone_number": "504-256-4251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1972 ORMOND BLVD",
"city": "DESTREHAN",
"state": "LA",
"postal_code": "700473818",
"telephone_number": "985-307-0925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "WILLIAM",
"middle_name": "JAMES",
"credential": "PT, DPT, OCS, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-18",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "09948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Destrehan, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.