Jennifer Smith

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

99039103A Issued in IN

Practice address

118 Medical Dr
Carmel, IN 46032-2923

Phone

(317) 785-4924

Fax

(866) 785-4924

NPI assigned

Sep 11, 2009

Sex

Female

Sole proprietor

No

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": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252627200000",
    "number": "1891028619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 N SOMERSET AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462222546",
            "telephone_number": "317-439-3065",
            "fax_number": "866-785-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MEDICAL DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322923",
            "telephone_number": "317-785-4924",
            "fax_number": "866-785-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "99039103A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Colleen Smith, OTR
• Erica Smith, OTR
• Holly Nichole Smith, M.D.
• James R Smith, M.D.
• Jared Luther Smith, BCBA
• Jennifer C Smith, OTR
• Joanne Bacon Smith, MD
• Kathryn L Smith, OD
• Lilian Smith, LCSW, LAC
• Mallory Smith

• Physical Therapy Assistant in Carmel, IN
• Providers in Carmel, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.