Individual provider Active NPI

Christina Jean Smith, MPT

  • Physical Therapist
  • Columbus, OH
National Provider Identifier
1952604779
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
017378 Issued in OH
Practice address
3600 Stelzer Rd Ste 240
Columbus, OH 43219-3676
Phone
(614) 827-1300
Fax
(614) 827-0877
NPI assigned
Dec 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 36840 CA
Physical Therapist 225100000X 017378 OH Primary

Addresses

Primary practice location

3600 Stelzer Rd Ste 240
Columbus, OH 43219-3676

Mailing address

170 Taylor Station Rd Ste 200
Columbus, OH 43213-4491
Phone (614) 545-7900

Other practice location 1

4282 Balboa Ave
San Diego, CA 92117-5544
Phone (619) 804-5520

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
36840CAMDDentist
017378OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Life Rehab, Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1952604779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 TAYLOR STATION RD STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134491",
            "telephone_number": "614-545-7900",
            "fax_number": "614-545-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 STELZER RD STE 240",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193676",
            "telephone_number": "614-827-1300",
            "fax_number": "614-827-0877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4282 Balboa Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921175544",
            "country_code": "US",
            "telephone_number": "619-804-5520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTINA",
        "middle_name": "JEAN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-16",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36840",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "017378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.