Kelly R Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

413 Issued in SC

Practice address

205 Bud Nalley Dr
Easley, SC 29642-3578

Phone

(864) 430-0895

NPI assigned

Jan 31, 2019

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1982168282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BUD NALLEY DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "29642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BUD NALLEY DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296423578",
            "telephone_number": "864-430-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELLY",
        "middle_name": "R",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smith Therapy Services
• Varleria Smith-Byrd, LBSW, LPC
• Carla Smith, RN
• Christopher C Smith, PAC
• Kellie D Smith, COTA
• Laura Michelle Smith, MA, LPC
• Lori Michelle Smith, LISW-CP
• Stephanie Tucker Smith, RDH
• Tara Lynne Smith, B.A., CACP
• Calvin Milton Snipes, MD

• Physical Therapy Assistant in Easley, SC
• Providers in Easley, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.