Individual provider Active NPI

Tracie L Schmitt, PT,DPT

  • Physical Therapist
  • Crestwood, KY
National Provider Identifier
1760428775
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004553 Issued in KY
Practice address
6003 Pleasant Colony CT
Suite 3
Crestwood, KY 40014-8678
Phone
(502) 241-5597
Fax
(502) 241-6499
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004553 KY Primary

Addresses

Primary practice location

6003 Pleasant Colony CT
Suite 3
Crestwood, KY 40014-8678

Mailing address

5612 Poplar Lakes LN
Louisville, KY 40299-5756
Phone (502) 727-1012

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
004553KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shelbyville Physical Therapy & Spine Care Center, P.S.C. Physical Therapist PastSince Jul 1, 2015 Accepting new patients
Summit Physical Therapy, PSC Physical Therapist PastSince Sep 1, 2017 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1760428775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 POPLAR LAKES LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402995756",
            "telephone_number": "502-727-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 PLEASANT COLONY CT",
            "address_2": "SUITE 3",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400148678",
            "telephone_number": "502-241-5597",
            "fax_number": "502-241-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITT",
        "first_name": "TRACIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestwood, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.