Carly Smith

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9594 Issued in CT

Practice address

4154 Madison Ave
Trumbull, CT 06611-3563

Phone

(203) 372-5718

NPI assigned

Mar 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1871986604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E GATE LN",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065142229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4154 MADISON AVE",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113563",
            "telephone_number": "203-372-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.015210",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "9594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John P Simses, MD
• Donna C Sinclair, M.D.
• Shubnum Singh, ANP-BC
• Debra Skudzienski
• Suzanne Smaniotto
• Joann Margaret Smith, M.D.
• Stephanie Zhu Smith, APRN
• Vladimir Smolgovskiy, DPT
• Elena Sokolova, N.D.
• Nathalie Solius, LPC

• Physical Therapist in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.