Active NPI
Helen R Smith, BA, PTA
- Physical Therapy Assistant
- Kenai, AK
National Provider Identifier
1902058902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1582
- Practice address
- 117 Haida Dr
Kenai, AK 99611-7953 - Phone
- (907) 252-0594
- NPI assigned
- Oct 21, 2008
- Last updated
- May 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1582 | AK | Primary |
| Massage Therapist | 225700000X | 101226 | AK |
Addresses
Primary practice location
117 Haida Dr
Kenai, AK 99611-7953
Mailing address
100 Trading Bay Rd
Suite 8
Kenai, AK 99611-7786
Phone (907) 252-0594
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101226 | Other | AK | ALASKA STATE MASSAGE THERAPY BOARD |
| PTA008 1029862 | Medicaid | AK | |
| 1582 | Other | AK | ALASKA STATE PHYSICAL THERAPY BOARD |
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
- Credentials
- Bachelor of Arts, Master of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1582 | AK | MD | Physical Therapy Assistant |
| 101226 | AK | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1902058902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 TRADING BAY RD",
"address_2": "SUITE 8",
"city": "KENAI",
"state": "AK",
"postal_code": "996117786",
"telephone_number": "907-252-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 HAIDA DR",
"city": "KENAI",
"state": "AK",
"postal_code": "996117953",
"telephone_number": "907-252-0594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "HELEN",
"middle_name": "R",
"credential": "BA, PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AK",
"license": "1582",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "101226",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALASKA STATE MASSAGE THERAPY BOARD",
"identifier": "101226",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PTA008 1029862",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALASKA STATE PHYSICAL THERAPY BOARD",
"identifier": "1582",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenai, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.