Denise Hazelwood- Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

002802 Issued in NY

Practice address

33 S Service Rd
Room 109
Jericho, NY 11753-1036

Phone

(516) 750-9760

NPI assigned

Apr 25, 2012

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": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1992063127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 E 32ND ST",
            "address_2": "APT# D6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 S SERVICE RD",
            "address_2": "ROOM 109",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531036",
            "telephone_number": "516-750-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELWOOD- SMITH",
        "first_name": "DENISE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "002802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Gutwirth, PSY.D.
• Ali E. Guy, M.D.
• Shelley Joan Haber, LCSW
• Virender Hak, MD
• Lisa Hakes
• Dan He, FNP
• Michelle Henry
• Nina R Hertz, MS-CCC-SLP
• Kerri Susan Herzog, SPEECH PATHOLOGIST
• Linda Hirsch, SLP

• Physical Therapy Assistant in Jericho, NY
• Providers in Jericho, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.