Kevin Smith

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA.0014511 Issued in CO

Practice address

8301 E Prentice Ave Ste 207
Greenwood Village, CO 80111-2905

Phone

(303) 322-8300

Fax

(303) 320-3823

NPI assigned

Nov 29, 2018

Last updated

Nov 29, 2018By the provider in NPPES

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": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1811467194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 VIREOS VW",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809223590",
            "telephone_number": "719-209-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 E PRENTICE AVE STE 207",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112905",
            "telephone_number": "303-322-8300",
            "fax_number": "303-320-3823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "PTA.0014511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Allen Smith, OTR/L, CHT
• Jerimee Smith, M.A., LPC, LAC
• Joel Davis Smith, FNP-C
• Joelle Smith, PSY. D
• Kenneth Smith
• Kristopher R. Smith, DMD
• Lisa A Smith
• Michaela Medrano Smith, MSOT
• Nicholas Francis Smith, MD
• Randall Eugene Smith, M.A., LPC

• Physical Therapy Assistant in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.