Joletta A Smith

Primary specialty

ContractorTaxonomy code 171W00000X

License

PTAT23898

Practice address

4161 Tamiami TRL Ste 704
Port Charlotte, FL 33952-9283

Phone

(941) 625-1110

Fax

(941) 625-0552

NPI assigned

Feb 6, 2013

Sex

Female

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

Practice roles

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.

• Golden Touch Physical Therapy Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Port Charlotte, FL
  • NPI 1740229103
  NPD (past)

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1942549241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL STE 704",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529283",
            "telephone_number": "941-625-1110",
            "fax_number": "941-625-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL STE 704",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529283",
            "telephone_number": "941-625-1110",
            "fax_number": "941-625-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOLETTA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": "PTAT23898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Smith
• Clement Gustavous Smith, CAREGIVER
• Cornelius Smith
• Dona Kristine Smith
• Joel W Smith, ATC
• Karen A Smith, RN
• Kevin E Smith, MD
• Lindsey Smith
• Michael S Smith, PTA
• Teresa Smith

• Contractor in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.