Joel W Smith, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL1862 Issued in FL

Practice address

2300 El Jobean Rd
Minor League Clubhouse
Port Charlotte, FL 33948-1120

Phone

(941) 235-5041

NPI assigned

May 25, 2007

Sex

Male

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1992916415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 EL JOBEAN RD",
            "address_2": "MINOR LEAGUE CLUBHOUSE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 EL JOBEAN RD",
            "address_2": "MINOR LEAGUE CLUBHOUSE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481120",
            "telephone_number": "941-235-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOEL",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL1862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brennan Colette Smith
• Cassidy Smith
• Clement Gustavous Smith, CAREGIVER
• Cornelius Smith
• Dona Kristine Smith
• Joletta A Smith
• Karen A Smith, RN
• Kevin E Smith, MD
• Lindsey Smith
• Michael S Smith, PTA

• Athletic Trainer in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.