Individual provider Active NPI

Helen R Smith, BA, PTA

  • Physical Therapy Assistant
  • Kenai, AK
National Provider Identifier
1902058902
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1582 Issued in AK
Practice address
117 Haida Dr
Kenai, AK 99611-7953
Phone
(907) 252-0594
NPI assigned
Oct 21, 2008
Last updated
May 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
101226OtherAKALASKA STATE MASSAGE THERAPY BOARD
PTA008 1029862MedicaidAK
1582OtherAKALASKA 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

LicenseStateTypeSpecialty
1582AKMDPhysical Therapy Assistant
101226AKMDMassage 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.

Verify at the official NPI Registry.