Rachel Anne Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA22137 Issued in FL

Practice address

3050 Brown Ave
Mount Dora, FL 32757-3453

Phone

(352) 383-2208

NPI assigned

Mar 17, 2011

Sex

Female

Sole proprietor

Yes

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": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1760781769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 BROWN AVE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327573453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 BROWN AVE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327573453",
            "telephone_number": "352-383-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA22137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Lenore Smith
• Jessica Smith
• Kayla Marie Smith
• Lamont Smith
• Lydia Shawn Smith, B.A., L.M.T.
• Sharlene Hope Smith, ARNP
• Hayley Snell
• Southern Respiratory, Inc
• Rebecca Spencer
• Tianna Victoria Lee Spencer

• Physical Therapy Assistant in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.