Kimberly A Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

005852-1 Issued in NY

Practice address

2115 Fiero Ave
Schenectady, NY 12303-4110

Phone

(518) 280-9521

NPI assigned

Aug 3, 2010

Sex

Female

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1831403781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 FIERO AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123034110",
            "telephone_number": "518-280-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 FIERO AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123034110",
            "telephone_number": "518-280-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "005852-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah June Smith
• Donna Smith, RN
• Heather Lynn Smith, M.S., CCC-SLP
• Katelyn Smith, MSED
• Kayla Nicole Smith, DPT
• Kirsten I. Smith
• Kristina Smith, DPT
• Niquane S Smith, M.S.W
• Sarah Smith, LMSW
• Sheila Frances Smith

• Physical Therapy Assistant in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.