Individual provider Active NPI

Kaytlin Nicole Galloway Smith, PT, DPT

  • Physical Therapist
  • Evansville, IN
National Provider Identifier
1992487219
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05015248A Issued in IN
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

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20231222001563 IN Practitioner - Physical Therapist in Private Practice 5395195929 Reassigns benefits to 1 organization

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
St Marys Health IncGroup PAC ID 9133023898, 53 clinicians

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

OrganizationSpecialtyStatusNew patients
St. Mary'S Health, Inc CurrentSince Dec 6, 2023 Accepting new patients
St. Mary'S Health, Inc Physical Therapist CurrentSince Dec 6, 2023 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.

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.

Verify at the official NPI Registry.