Active NPI
Rene Smit, R.P.T.
- Physical Medicine & Rehabilitation Physician
- Lake Placid, FL
National Provider Identifier
1831153949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT0005726
- Practice address
- 104 S Main Ave
Lake Placid, FL 33852-1808 - Phone
- (863) 699-6929
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PT0005726 | FL | Primary |
Addresses
Primary practice location
104 S Main Ave
Lake Placid, FL 33852-1808
Mailing address
104 S Main Ave
Lake Placid, FL 33852-1808
Phone (863) 699-6929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y909E | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0005726 | FL | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1831153949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 S MAIN AVE",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338521808",
"telephone_number": "863-699-6929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 S MAIN AVE",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338521808",
"telephone_number": "863-699-6929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMIT",
"first_name": "RENE",
"credential": "R.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "PT0005726",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y909E",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Placid, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.