Individual provider Active NPI

Gabrielle Catherine Smith, PT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1790036473
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9197 Issued in TN
Practice address
10910 Kingston Pike
Suite 107
Knoxville, TN 37934-2948
Phone
(865) 342-7823
Fax
(865) 342-7824
NPI assigned
Sep 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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 9197 TN Primary

Addresses

Primary practice location

10910 Kingston Pike
Suite 107
Knoxville, TN 37934-2948

Mailing address

10910 Kingston Pike
Suite 107
Knoxville, TN 37934-2948
Phone (865) 342-7823

Other names 1

  • Gabrielle Catherine Kahl Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1790036473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10910 KINGSTON PIKE",
            "address_2": "SUITE 107",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342948",
            "telephone_number": "865-342-7823",
            "fax_number": "865-342-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10910 KINGSTON PIKE",
            "address_2": "SUITE 107",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342948",
            "telephone_number": "865-342-7823",
            "fax_number": "865-342-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GABRIELLE",
        "middle_name": "CATHERINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELLE",
            "last_name": "KAHL",
            "middle_name": "CATHERINE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.