Jeff Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA14287 Issued in FL

Practice address

231 Courtyard Blvd
Sun City Center, FL 33573-5759

Phone

(813) 642-7447

NPI assigned

Aug 23, 2017

Last updated

Aug 23, 2017By the provider in NPPES

Sex

Male

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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1891212692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 S MANHATTAN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 COURTYARD BLVD",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735759",
            "telephone_number": "813-642-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFF",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA14287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annaka Simons, M.S., CCC-SLP
• Frankie Anne Small, ED.D. ED.S. MSW LCSW
• Townsley Smallwood, PTA
• Peggy W Smith-Squier, RN, CNOR, RNFA
• Allison Smith
• Samuel Goodale Smith, M.D.
• Sydney Kay Smith
• Zachary Snyder, PT, DPT
• Jamie Santos Solana, M.D.
• Sheida Soroory

• Physical Therapy Assistant in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.