Individual provider Active NPI

Gina Lucia Smyth-Gardner, PT

  • Physical Therapist
  • Christiansburg, VA
National Provider Identifier
1790954071
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305205108 Issued in VA
Practice address
2875 Barn Rd
Suite 100
Christiansburg, VA 24073-6361
Phone
(540) 639-5786
Fax
(540) 633-0708
NPI assigned
Feb 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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 2305205108 VA Primary

Addresses

Primary practice location

2875 Barn Rd
Suite 100
Christiansburg, VA 24073-6361

Mailing address

2875 Barn Rd
Suite 100
Christiansburg, VA 24073-6361
Phone (540) 639-5786

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

State licenses

LicenseStateTypeSpecialty
2305205108VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Rehab Associates, Inc Physical Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1790954071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 BARN RD",
            "address_2": "SUITE 100",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736361",
            "telephone_number": "540-639-5786",
            "fax_number": "540-633-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 BARN RD",
            "address_2": "SUITE 100",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736361",
            "telephone_number": "540-639-5786",
            "fax_number": "540-633-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYTH-GARDNER",
        "first_name": "GINA",
        "middle_name": "LUCIA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.