Gina Smith

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT03396 Issued in LA

Practice address

804 Polk St
Winnsboro, LA 71295-2350

Phone

(318) 435-1550

NPI assigned

May 17, 2007

Last updated

Sep 1, 2011By the provider in NPPES

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

State licenses

Practice roles

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

• Union Rehabilitation Center

  • Rehabilitation Clinic/Center
  • Farmerville, LA
  • NPI 1760672422
  NPD (past)
• Union Rehabilitation Center

  • Physical Therapist
  • Farmerville, LA
  • NPI 1992805899
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1962619734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 HIGHWAY 98 W",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396669132",
            "telephone_number": "601-276-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 POLK ST",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712952350",
            "telephone_number": "318-435-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT03396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Futch Sanderlin
• Aleshia Kewanna Shaw
• Christy M Shelton, AGNP
• Simcor, L.L.C. (Elara Caring)
• Marteze Singleton
• Stephanie B Smith
• Southern Medical Equipment, Inc.
• Southern Osteoporosis Service
• Justin Slade Spann, CAC
• Stephen Allen Stansbury, FNP

• Physical Therapist in Winnsboro, LA
• Providers in Winnsboro, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.