Active NPI
Christopher Jason Smith, MSPT
- Physical Therapist
- New London, CT
National Provider Identifier
1740453695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006947
- Practice address
- 365 Montauk Avenue
Lawrence and Memorial Hospital
New London, CT 06320 - Phone
- (860) 442-0711
- NPI assigned
- Apr 10, 2008
- Last updated
- Apr 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 006947 | CT | Primary |
Addresses
Primary practice location
365 Montauk Avenue
Lawrence and Memorial Hospital
New London, CT 06320
Mailing address
365 Montauk Avenue
Lawrence and Memorial Hospital
New London, CT 06320
Phone (860) 442-0711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006947 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1740453695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 MONTAUK AVENUE",
"address_2": "LAWRENCE AND MEMORIAL HOSPITAL",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "06320",
"telephone_number": "860-442-0711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 MONTAUK AVENUE",
"address_2": "LAWRENCE AND MEMORIAL HOSPITAL",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "06320",
"telephone_number": "860-442-0711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CHRISTOPHER",
"middle_name": "JASON",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-10",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "006947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.