Stephanie Janae Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A02406 Issued in KY

Practice address

11203 Main St
Martin, KY 41649-7999

Phone

(606) 285-6670

NPI assigned

Jul 10, 2019

Last updated

Jul 10, 2019By the provider in NPPES

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": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1992357966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 PERRYS TOWN RD",
            "city": "GARNER",
            "state": "KY",
            "postal_code": "418179100",
            "telephone_number": "606-634-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11203 MAIN ST",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "416497999",
            "telephone_number": "606-285-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHANIE",
        "middle_name": "JANAE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A02406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Salisbury, OD
• Melissa Ann Samons
• Ira Bonita Slone, BA
• Joshua Slone, BA
• William H. Smith-Mensah, M.D.
• Jessica Ann Thornsbury, PHARMD
• Sherrie Tibbs, RN
• Total Vision Optical PLLC
• TPC Martin Inc (Total Pharmacy Care #4)
• TPC Martin Inc (Total Pharmacy Care #4)

• Physical Therapy Assistant in Martin, KY
• Providers in Martin, KY by specialty
• Physical Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.