Eric Kindle Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2155646 Issued in TX

Practice address

3208 Thunderbird LN
Plano, TX 75075-2321

Phone

(972) 422-2214

NPI assigned

Mar 14, 2021

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1615680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615680000000",
    "number": "1770168452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 SAINTSBURY DR APT 229",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750565278",
            "telephone_number": "806-676-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 THUNDERBIRD LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750752321",
            "telephone_number": "972-422-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIC",
        "middle_name": "KINDLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-14",
        "last_updated": "2021-03-14",
        "certification_date": "2021-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2155646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel A. Smith, M.D.
• David Lawrence Smith, M.D.
• Derek Smith, LPC, LCDC
• Destinee Sherrell Smith
• Donna R Smith, LSA
• George Arthur Smith, DDS
• Haley Smith, M.S. CCC-SLP
• Jason Arthur Smith, CPTA
• Jeanette L Smith, M.D.
• Jessica Azell Smith

• Physical Therapy Assistant in Plano, TX
• Providers in Plano, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2021; 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.