Robert Brandon Smith, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT33603 Issued in FL

Practice address

1320 Oakfield Dr
Brandon, FL 33511-4860

Phone

(727) 308-9848

Fax

(727) 502-6027

NPI assigned

Jun 11, 2018

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 names 1

• Brandon Smith Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1992298392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 1ST AVE S STE 200-161",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014361",
            "telephone_number": "727-308-9848",
            "fax_number": "727-502-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114860",
            "telephone_number": "727-308-9848",
            "fax_number": "727-502-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "BRANDON",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDON",
            "last_name": "SMITH",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lainey Smith
• Leah Smith
• Megan Elizabeth Smith, APRN
• Philip Smith, LPO/CPO
• Rachel Lauren Smith, PA-C
• Rosemonde Smith
• Ryne Michael Smith
• Sydni Nicole Smith
• Samantha Grace Smithyman
• SMK Medical Transport Services

• Physical Therapist in Brandon, FL
• Providers in Brandon, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.