Active NPI
Christina Jean Smith, MPT
- Physical Therapist
- Columbus, OH
National Provider Identifier
1952604779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 017378
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 36840 | CA | MD | Dentist |
| 017378 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Geriatric Physical Therapist
- Escondido, CA
- NPI 1346295805
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.