Kelly Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305206672 Issued in VA

Practice address

14631 Lee Hwy
Suite 310
Centreville, VA 20121-5824

Phone

(703) 222-5903

Fax

(703) 222-3765

NPI assigned

Nov 5, 2010

Last updated

Dec 29, 2016By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Marymount University, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Comp RX Physical Therapy, LLC

  • Physical Therapist
  • Chantilly, VA
  • NPI 1851120703

  DC

  Medicare reassignment NPD Authorized official
• Virginia Luna Care Physical Therapy LLC

  • Physical Therapist
  • Fairfax, VA
  • NPI 1235720848
  Medicare reassignment
• Center for Specialty Care, PLC

  • Physical Therapist
  • Centreville, VA
  • NPI 1255682654
  NPD (past)
• Centreville Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Centreville, VA
  • NPI 1558564526

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1710288840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14631 LEE HIGHWAY",
            "address_2": "SUITE 310",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "20121",
            "telephone_number": "703-222-5903",
            "fax_number": "703-222-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14631 LEE HWY",
            "address_2": "SUITE 310",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201215824",
            "telephone_number": "703-222-5903",
            "fax_number": "703-222-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-05",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryam Sindi, FNP
• Skinner Ossakow & Associates
• Kevin Michael Skinner, DDS
• Smileon Dentistry PLLC (SmileOn Dentistry)
• Julia Smith, PT
• Kelly D. Smith, MA, LPC, NCC
• Kellie Elizabeth Soafer, DMD
• Eleni Solos-Kountouris, MD
• Jim J Soltani, DDS
• Sanjeev Soni

• Physical Therapist in Centreville, VA
• Providers in Centreville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.