Eric C Smith LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3643 Issued in OK

Legal business name

ERIC C SMITH LLC

Doing business as

KEE Physical Therapy

Practice address

8165 S Mingo Rd Ste 100
Tulsa, OK 74133-4667

Phone

(918) 504-9482

NPI assigned

Sep 20, 2017

Organization subpart

No

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

Authorized official

Name

Jody Smith

Title

Office Manager

Phone

(918) 504-9482

Specialties & licenses 1

Addresses

Other names 1

• KEE Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric C. Smith, PT

  • Physical Therapist
  • Tulsa, OK
  • NPI 1376796870
  Medicare reassignment
• Kelsey Leah Cunningham, PTA

  • Physical Therapy Assistant
  • Tulsa, OK
  • NPI 1740817634
  NPD
• Tiffany Rae Pannell, PTA

  • Physical Therapy Assistant
  • Tulsa, OK
  • NPI 1326734013
  NPD

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1871002915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4226 E 52ND ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353907",
            "telephone_number": "918-504-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8165 S MINGO RD STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334667",
            "telephone_number": "918-504-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC C SMITH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-504-9482"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KEE Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Equity Pharmacy Inc
• Elizabeth Joy Erazo, LMSW
• George Earl Erbacher, DO
• Mary J Erdmann
• Paul Martin Erdmann, MD
• Eric S Curley DC
• Erica McQuiddy Pysd
• David A Erickson, MD
• Frances Jean Erickson, OCCUPATIONAL THERAPI
• Sara Erickson

• Physical Therapist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.