Caleb Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2171165 Issued in TX

Practice address

16130 Galveston Rd
Webster, TX 77598

Phone

(832) 426-7030

NPI assigned

Dec 4, 2024

Last updated

Dec 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1982410007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 CLOVERFIELD DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848633",
            "telephone_number": "832-841-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16130 GALVESTON RD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "77598",
            "telephone_number": "832-426-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CALEB",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2171165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "2171165",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Musgrave Sinor
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• Brittany Slanina, ACNPC-AG
• Harvey E Slusky, M.D.
• Benjamin Evans Smith Jr., DDS
• Divine Faith Smith
• Leslie Smith, RN,BSN,CNOR
• Melissa Ann Smith, AGACNP
• Micah Smith
• Smooth Surgical Staffing Associates

• Physical Therapy Assistant in Webster, TX
• Providers in Webster, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.