Latoya Renee Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 21221 Issued in FL

Practice address

1418 S Powerline Rd
Pompano Beach, FL 33069-4300

Phone

(954) 975-0771

Fax

(954) 975-0726

NPI assigned

May 20, 2008

Sex

Female

Sole proprietor

Yes

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1801053608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2588 NW 27TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333112849",
            "telephone_number": "954-733-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 S POWERLINE RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694300",
            "telephone_number": "954-975-0771",
            "fax_number": "954-975-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LATOYA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 21221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Melissa Smith, BCBA
• Janelle Renae Smith
• Justin Smith, LMT
• Kristen Smith
• Kristina Smith
• Lindsay Smith
• Michelle Akila Smith
• Raquel Smith
• Savanna R Smith
• Thaniel Smith

• Physical Therapy Assistant in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.