Candice Rene Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-02467 Issued in KS

Practice address

9751 W 85TH St
Apt a
Overland Park, KS 66212-4516

Phone

(816) 582-5815

NPI assigned

Feb 25, 2013

Sex

Female

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": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1861732133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9751 W 85TH ST",
            "address_2": "APT A",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662124516",
            "telephone_number": "816-582-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9751 W 85TH ST",
            "address_2": "APT A",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662124516",
            "telephone_number": "816-582-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CANDICE",
        "middle_name": "RENE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-02467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlynn Smith, LPC-T
• Audrey Lyn Smith, PHARM.D., MBA
• Bradley N Smith, DDS
• Brandie Latisse Smith, DNP, APRN, WHNP-BC
• Brooke Smith
• Carol Lois Smith, MD
• Cody Smith, PHARMD
• Danielle V Smith
• David M Smith, M.D.
• Emily Anne Smith

• Physical Therapy Assistant in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.