Kirstin Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A4108 Issued in MD

Practice address

24 Truck House Rd
Severna Park, MD 21146-2715

Phone

(410) 544-4220

NPI assigned

Jun 7, 2017

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

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1730618331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11721 S LAUREL DR APT 413",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 TRUCK HOUSE RD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462715",
            "telephone_number": "410-544-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIRSTIN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A4108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annamarie Skinker, SLP
• Emily Slinko, MS/OTR/L
• Marissa Britt Small, COTA/L
• Deondra Smith, PSYD
• Jessica Smith
• Patrice Alexis Smith
• Raeshelle Smith, BS
• Tammi Smith
• SNH MD Tenant LLC
• Anna K. Soisson, LCPC, CSC-AD

• Physical Therapy Assistant in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.