Smart Athlete Physiotherapy, LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

SMART ATHLETE PHYSIOTHERAPY, LLC

Practice address

1017 E Whitaker Mill Rd
Raleigh, NC 27608-2757

Phone

(919) 424-6055

NPI assigned

Nov 14, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Michael Angelo Vita Jr., PT, DPT, ECS

Title

Co-Owner/Physical Therapist

Phone

(919) 624-2358

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1730658253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5153 FAIRMEAD CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276137858",
            "telephone_number": "919-424-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 E WHITAKER MILL RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082757",
            "telephone_number": "919-424-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART ATHLETE PHYSIOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "VITA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANGELO",
        "authorized_official_title_or_position": "CO-OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "919-624-2358",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT, DPT, ECS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Nicole Smallwood, LCSWA
• Tanya Reams Smallwood, ANP-C
• Teinesha Ryshek Smallwood, LCSW
• Zachary Boyce Smarr, RBT
• Austin Tyler Smarsh, DO, MPH
• Smart Transportation
• Anne Smart, LPC-A
• David C Smart Sr., MSW, P-LCSW
• Smartbus
• Smartcare Operations Group, Inc.

• Orthopedic Physical Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Orthopedic Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.