Nicole Marie Smith

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0014441 Issued in CO

Practice address

1807 Eldorado Dr
Superior, CO 80027-8256

Phone

(303) 513-8832

NPI assigned

Oct 22, 2021

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

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1982368304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 ELDORADO DR",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800278256",
            "telephone_number": "303-513-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 ELDORADO DR",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800278256",
            "telephone_number": "303-513-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0014441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Smelko, RPH
• Hannah Christine Smerker, D.O.
• Dana J Smith, M.D.
• Kari Smith, OTR/L
• Livia Duque Smith
• Tina Lynn Snyder, FNP
• Deanna Marie Soliman, PHARMD
• Lief Sorensen, MD
• Source 1
• Michael A Spector, M.D.

• Physical Therapy Assistant in Superior, CO
• Providers in Superior, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.