Kevin Donald Smith

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9686 Issued in SC

Practice address

929 Bowman Rd Ste 300
Mt Pleasant, SC 29464-3237

Phone

(843) 268-4977

Fax

(843) 628-0135

NPI assigned

Apr 19, 2019

Last updated

Nov 25, 2019By the provider in NPPES

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)

Enrolled

State licenses

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1790348217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR STE 300",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677285",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 BOWMAN RD STE 300",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643237",
            "telephone_number": "843-268-4977",
            "fax_number": "843-628-0135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 Saint James Ave Unit G",
            "address_purpose": "LOCATION",
            "city": "Goose Creek",
            "state": "SC",
            "postal_code": "294452767",
            "country_code": "US",
            "telephone_number": "843-642-8660",
            "fax_number": "843-642-8661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEVIN",
        "middle_name": "DONALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Furman M Smith, O.D.
• Julia Taylor Smith
• Karen F Smith, OTR/L
• Kellie Smith, CPD (DONA)
• Kendra Smith, DPT
• Kimberly Caroline Smith, RN
• Latasia Smith
• Lora Bea Smith, MS, OTR/L
• Madison Taylor Smith, MSW, LISW-CP
• Michael Scott Smith, DPT

• Physical Therapist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.