Susan A Smith, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT 23289 Issued in CA

Practice address

34520 Bob Wilson Dr
Suite 100
San Diego, CA 92134-2098

Phone

(619) 532-5466

Fax

(619) 532-6908

NPI assigned

May 5, 2006

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902854656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3642 NEREIS DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919418013",
            "telephone_number": "619-741-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34520 BOB WILSON DR",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921342098",
            "telephone_number": "619-532-5466",
            "fax_number": "619-532-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT 23289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri Smith, M.A.CCC-SLP
• Stella Smith
• Stephanie Ann Smith, M.S.
• Sue Smith, RN
• Sunny Dawn Smith, MD
• Susan Luro Smith, RN, MSN, FNP
• Suzanne Smith, RD
• Tabitha Smith
• Tatum McKenna Smith
• Taylor Smith, RBT

• Pediatric Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.