Active NPI
Richard Keith Smithdeal, RKT
- Kinesiotherapist
- Moutain Home, TN
National Provider Identifier
1790725414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Kinesiotherapist
- License
- 1374
- Practice address
- James Quillen Vamc
BLD 200 RMS(117)
Moutain Home, TN 37684 - Phone
- (423) 926-1171
- Fax
- (423) 979-3618
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Kinesiotherapist | 226300000X | 1374 | Primary |
Addresses
Primary practice location
James Quillen Vamc
BLD 200 RMS(117)
Moutain Home, TN 37684
Mailing address
125 Crockett LN
Elizabethton, TN 37643-5967
Phone (423) 676-7785
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790725414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 CROCKETT LN",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376435967",
"telephone_number": "423-676-7785",
"fax_number": "423-979-3618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JAMES QUILLEN VAMC",
"address_2": "BLD 200 RMS(117)",
"city": "MOUTAIN HOME",
"state": "TN",
"postal_code": "37684",
"telephone_number": "423-926-1171",
"fax_number": "423-979-3618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITHDEAL",
"first_name": "RICHARD",
"middle_name": "KEITH",
"name_prefix": "Mr.",
"credential": "RKT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": null,
"license": "1374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moutain Home, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.