Tara Nelson Smith, MS, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024108 Issued in NY

Practice address

905 Annadale Rd
Staten Island, NY 10312-4010

Phone

(718) 984-5826

NPI assigned

Oct 17, 2014

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

Credentials

Master of Science

Practice roles

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.

• Words 'N Motion, Special Education Programs, Speech Language Pathology

  • Local Education Agency (LEA)
  • Staten Island, NY
  • NPI 1578870358
  NPD (past)

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1811391055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 DOWNES AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103124065",
            "telephone_number": "718-702-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ANNADALE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103124010",
            "telephone_number": "718-984-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TARA",
        "middle_name": "NELSON",
        "credential": "MS, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel E Smith, FNP-C
• Riki Smith, CASAC-T, FAMILY DEV.
• Shakia Smith
• Shawn Angelique Smith, LMSW
• Stacey Smith
• Tennyson Antonio Smith
• Tiffany Smith
• Tina Marie Smith, RPH
• Victoria Smith
• Estee Smoler, RD

• Physical Therapist in Staten Island, NY
• Providers in Staten Island, 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 Oct 17, 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.