Nicholas Keaton Smith, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH10953 Issued in AL

Practice address

6880 US Highway 90 Ste 10
Daphne, AL 36526-9522

Phone

(251) 210-2901

Fax

(251) 210-2902

NPI assigned

Aug 11, 2022

Sex

Male

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

Enrolled in AL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Agilitas USA Inc

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  AL, Physical Therapist

  Medicare reassignment NPD
• Benchmark Physical Therapy of Alabama, LLC

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1659642916

  AL, Physical Therapist

  Medicare reassignment NPD
• Agilitas USA, Inc

  • Physical Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1518695436

  Physical Therapist

  NPD
• Agilitas USA, Inc

  • Physical Therapy Clinic/Center
  • Daphne, AL
  • NPI 1588050264
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1932837481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-803-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6880 US HIGHWAY 90 STE 10",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269522",
            "telephone_number": "251-210-2901",
            "fax_number": "251-210-2902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Shell St",
            "address_purpose": "LOCATION",
            "city": "Saraland",
            "state": "AL",
            "postal_code": "365712202",
            "country_code": "US",
            "telephone_number": "251-308-2911",
            "fax_number": "251-447-2471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICHOLAS",
        "middle_name": "KEATON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH10953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Anne Smith, DMD
• Grant Kendall Smith, D.C.
• Kathryn Hope Smith, MS, OTR/L
• Kelsey Smith
• Najahh Lavon Smith, REGISTERED NURSE
• Susan Smith, CRNP
• Tara Smith, PHARMD
• Taylor Smith
• Wesley R Smith, PHARMD
• Whitney Smith, SLP

• Physical Therapist in Daphne, AL
• Providers in Daphne, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.