Kimberley Ellen Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0158641 Issued in NY

Practice address

405 W Dominick St
Rome, NY 13440-4816

Phone

(315) 337-1533

Fax

(315) 337-1531

NPI assigned

May 26, 2006

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oneida Medical Associates PLLC

  • Internal Medicine Physician
  • Oneida, NY
  • NPI 1255338018
  NPD (past)
• OT-PT Connection

  • Specialist
  • Rome, NY
  • NPI 1902835119

  Physical Therapist

  NPD (past)
• Your Therapy Connection

  • Hand Occupational Therapist
  • Rome, NY
  • NPI 1598094435
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1740236918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W DOMINICK ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134404816",
            "telephone_number": "315-337-1533",
            "fax_number": "315-337-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W DOMINICK ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134404816",
            "telephone_number": "315-337-1533",
            "fax_number": "315-337-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLEY",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0158641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdalena Skowron
• Laura Ann Smith-Creaser
• Adrienne Michelle Smith, P.A.
• Evan Smith, LMSW
• Judy Ann Smith, LPN
• Teri Lynn Smith, LPN
• Annette Snow, LPN
• State of New York
• State of New York Comptrollers Office
• State of New York Comptrollers Office

• Physical Therapist in Rome, NY
• Providers in Rome, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.