Active NPI
Kaytlin Nicole Galloway Smith, PT, DPT
- Physical Therapist
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05015248A
- Practice address
- 516 Court St Ste a
Evansville, IN 47708-1340 - Phone
- (812) 485-2100
- NPI assigned
- Aug 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05015248A | IN | Primary |
Addresses
Primary practice location
516 Court St Ste a
Evansville, IN 47708-1340
Mailing address
516 Court St Ste a
Evansville, IN 47708-1340
Other practice location 1
600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-6002
Other practice location 2
14020 Old State Rd Ste D100
Evansville, IN 47725-1167
Phone (812) 469-4770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
516 Court St
A
Evansville, IN 47708-1340
Phone (812) 485-2100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Health, Inc | Current | Accepting new patients | |
| St. Mary'S Health, Inc | Physical Therapist | Current | Accepting new patients |
| St. Mary'S Health, Inc | Physical Therapist | Current | Accepting new patients |
Locations
5927 Reliable Pkwy
Chicago, IL 60686
14020 Old State Rd
Ste D100
Evansville, IN 47725
Phone (812) 469-4470
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
516 Court St
#A
Evansville, IN 47708
Phone (812) 485-2100
250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Evansville, IN
- NPI 1023556305
Physical Therapist
-
- Hematology & Oncology Physician
- Newburgh, IN
- NPI 1952101214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1992487219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 COURT ST STE A",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477081340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 COURT ST STE A",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477081340",
"telephone_number": "812-485-2100"
}
],
"practiceLocations": [
{
"address_1": "600 Mary St",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477101658",
"country_code": "US",
"telephone_number": "812-450-6002",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14020 Old State Rd Ste D100",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477251167",
"country_code": "US",
"telephone_number": "812-469-4770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "KAYTLIN",
"middle_name": "NICOLE GALLOWAY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-04",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05015248A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.