Active NPI
Tavia Kyndra Smith, DPT
- Physical Therapist
- Denton, TX
National Provider Identifier
1851073019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1381026
- Practice address
- 2445 W Oak St Ste 200
Denton, TX 76201-4326 - Phone
- (940) 320-6030
- Fax
- (940) 320-3113
- NPI assigned
- Aug 7, 2023
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 1381026 | TX | Primary |
Addresses
Primary practice location
2445 W Oak St Ste 200
Denton, TX 76201-4326
Mailing address
PO Box 2650
Coppell, TX 75019-8607
Phone (972) 724-2400
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1381026 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1851073019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2650",
"city": "COPPELL",
"state": "TX",
"postal_code": "750198607",
"telephone_number": "972-724-2400",
"fax_number": "972-724-2495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2445 W OAK ST STE 200",
"city": "DENTON",
"state": "TX",
"postal_code": "762014326",
"telephone_number": "940-320-6030",
"fax_number": "940-320-3113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TAVIA",
"middle_name": "KYNDRA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1381026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.