Ruby Diane Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 18427 Issued in FL

Practice address

95-1011 Puukoa St
Mililani, HI 96789-6505

Phone

(863) 409-5465

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Ruby Diane Smith Harris Other name

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1720200397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-1011 PUUKOA ST",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967896505",
            "telephone_number": "863-409-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-1011 PUUKOA ST",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967896505",
            "telephone_number": "863-409-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RUBY",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 18427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUBY",
            "last_name": "SMITH HARRIS",
            "middle_name": "DIANE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adam Smith
• Angela Smith
• Daisge Smith
• Darren Smith
• Jordan Smith
• Taniqua Chanice Smith, RN
• Marina Smolens
• Elizabeth Snow, MS, CCC-SLP
• Soh Partnership of Hawaii
• Alesia Somervill

• Physical Therapy Assistant in Mililani, HI
• Providers in Mililani, HI by specialty
• Physical Therapy Assistant in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.