Lance Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0095621 Issued in NY

Practice address

380 2ND Ave
New York, NY 10010-5615

Phone

(212) 253-6600

Fax

(212) 253-7178

NPI assigned

Oct 10, 2006

Last updated

Mar 18, 2008By 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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1801983770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 7TH AVE",
            "address_2": "SUITE 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153689",
            "telephone_number": "718-369-8000",
            "fax_number": "718-369-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105615",
            "telephone_number": "212-253-6600",
            "fax_number": "212-253-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LANCE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0095621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristofer Lawrence Smith, MD
• Kylan Smith, PT
• Kyle T Smith
• Kyley Smith, MS, OTR/L
• Lacheryl S Smith
• Latesha Germaine Smith, LPN
• Laura Smith, LMSW
• Laura Patrice Smith, LCSW
• Lauren Kathryn Smith, MD
• Lauren P Smith, PT, DPT

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

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