Cornell Smith

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2054358 Issued in TX

Practice address

6623 Renfro Dr
Richmond, TX 77469-5951

Phone

(832) 969-4870

Fax

(281) 232-1949

NPI assigned

May 3, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1821210162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6623 RENFRO DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774695951",
            "telephone_number": "832-969-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6623 RENFRO DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774695951",
            "telephone_number": "832-969-4870",
            "fax_number": "281-232-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CORNELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2054358",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smile Angels, PLLC (Dream Smiles Dental)
• Smilesbymehta (charm dental)
• Smiling Mint PLLC (Richmond Dental Care)
• Blessing Uchechukwu Smith, PMHNP-BC
• Chad Jemal Smith
• Fanchon Gay Smith
• Jeffrey Lynn Smith Sr.
• Keely Paige Smith, COTA/L
• La Teasha Ra Kayle Smith
• Lekristen Smith, LVN

• Physical Therapy Assistant in Richmond, TX
• Providers in Richmond, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.