Individual provider Active NPI

Linsey Marie Smith, PTA

  • Physical Therapy Assistant
  • Indianapolis, IN
National Provider Identifier
1881285161
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
06006054A Issued in IN
Practice address
5135 S Emerson Ave Ste C
Indianapolis, IN 46237-1967
Phone
(317) 991-5710
Fax
(317) 755-1807
NPI assigned
Jan 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 06006054A IN Primary

Addresses

Primary practice location

5135 S Emerson Ave Ste C
Indianapolis, IN 46237-1967

Mailing address

5135 S Emerson Ave Ste C
Indianapolis, IN 46237-1967
Phone (317) 991-5710

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

LicenseStateTypeSpecialty
06006054AINMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Calmare Treatment Center CurrentSince Jan 31, 2021 Accepting new patients
Indiana Pain and Injury Centers LLC CurrentSince Jan 31, 2021 Accepting new patients

Locations

5135 S Emerson Ave
Ste C
Indianapolis, IN 46237
Phone (317) 991-5710

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1881285161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 S EMERSON AVE STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462371967",
            "telephone_number": "317-991-5710",
            "fax_number": "317-755-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 S EMERSON AVE STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462371967",
            "telephone_number": "317-991-5710",
            "fax_number": "317-755-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LINSEY",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06006054A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.