Derrick Smith

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

008286 Issued in OH

Practice address

6410 Seminole Dr
West Chester, OH 45069-1329

Phone

(937) 728-1747

NPI assigned

Aug 18, 2014

Sex

Male

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": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1801295654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 SEMINOLE DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450691329",
            "telephone_number": "937-728-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 SEMINOLE DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450691329",
            "telephone_number": "937-728-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DERRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "008286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makenna Smallwood
• Adam Smith, D.C.
• Caycie Smith
• Darolyn Marie Smith
• Debra Colleen Smith, MSOTR/L
• Emily Suzanne Smith
• Hagen Elizabeth Smith, MD
• Jackson Smith
• James Edward Smith, D.O.
• Jonathan Knuth Smith, M.D.

• Physical Therapy Assistant in West Chester, OH
• Providers in West Chester, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.