KEVIN SMITH (NPI# 1295166411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295166411 |
| Entity Type | Individual |
| Full Name | KEVIN SMITH |
| Practice Address |
19472 Us Route 11 Watertown NY 13601-5387 |
| Mailing Address |
3061 State Route 28 Herkimer NY 13350-1041 |
| Practice Telephone | 3157823941 |
| Practice Fax Number | 3157828967 |
| Mailing Telephone | 3157170020 |
| Mailing Fax Number | 3157170024 |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2019-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
037040-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3061 State Route 28, Herkimer, NY 133501041 | 3157170020 | 3157170024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394310 | Kevin Lee Smith | Technician | 97 Culp Dr, Ridgeley, WV 26753-7407 | 2020-07-29 |
| 1295397495 | Kevin James Smith | Social Worker | 1076 E Rubicon Dr, Boise, ID 83716-5279 | 2019-07-08 |
| 1649831546 | Kevin Smith | Dentist | 5657 S Himalaya St Ste 270, Aurora, CO 80015-5310 | 2019-06-22 |
| 1992362875 | Kevin Gene Smith | Social Worker | 1293 Page Rd, Raleigh, NC 27603-7334 | 2019-05-25 |
| 1700314952 | Kevin Matthew Smith | Pediatrics | 715 Camino Catalina, Solana Beach, CA 92075-1631 | 2017-06-01 |
| 1124565759 | Kevin Smith | Driver | 530 Yates Ave, Calumet City, IL 60409-3119 | 2017-01-20 |
| 1487005047 | Kevin Smith | Massage Therapist | 19615 Se 342nd St, Auburn, WA 98092-1500 | 2016-06-24 |
| 1679929806 | Kevin Smith | Durable Medical Equipment & Medical Supplies | 76 Birchmount Cir, West Henrietta, NY 14586-9452 | 2016-05-06 |
| 1871998716 | Kevin Michael Smith | Physical Therapist | 15 Corporate Plaza Dr Ste 130, Newport Beach, CA 92660-7940 | 2014-11-04 |
| 1144646993 | Kevin Smith | Occupational Therapist | 322 Pillings Pond Rd, Lynnfield, MA 01940-1345 | 2014-03-17 |
| Street Address |
19472 US ROUTE 11 |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-5387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811967201 | Tomm L Maxon | Chiropractor | 19472 Us Route 11, Cani Medical Complex Chiropractic Suite, Watertown, NY 13601-5387 | 2006-01-26 |
| 1437780442 | Hiram A Garcia Dental Implants and Oral Surgery Pllc | Dentist | 19472 Us Route 11, Watertown, NY 13601-5387 | 2020-01-29 |
| 1902356298 | Janean Lawyea | Speech-Language Pathologist | 19472 Us Route 11, Watertown, NY 13601-5387 | 2016-10-11 |
| 1841667995 | Kimberly Osucha | Audiologist | 19472 Us Route 11, Watertown, NY 13601-5387 | 2015-08-25 |
| 1730564980 | Buffalo Vamc | Clinic/Center | 19472 Us Route 11, Watertown, NY 13601-9998 | 2015-07-29 |
| 1558771741 | Maya Samuel | Audiologist | 19472 Us Route 11, Watertown, NY 13601-5387 | 2014-04-28 |
| 1720391089 | Elisabeth Gahler | Physical Therapist | 19472 Us Route 11, Watertown, NY 13601-5387 | 2010-07-15 |
| 1114065174 | Cani Pt Ot Slp & Psychology Pllc | Specialist | 19472 Us Route 11, Watertown, NY 13601-5387 | 2007-02-02 |
| 1679637110 | Jeffrey Kenneth Auerbach | Specialist | 19472 Us Route 11, Watertown, NY 13601-5387 | 2006-12-20 |
| 1053329771 | Paul S. Curtis, Md, PC | Orthopaedic Surgery | 19472 Us Route 11, Watertown, NY 13601-5387 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922657543 | Matthew O'connor | Physical Therapist | 63 Pleasant St, Watertown, MA 02472-2386 | 2019-09-06 |
| 1518902980 | Dennis Edward Eickhoff | Physical Therapist | 200 Lewis Ave S, Suite 210, Watertown, MN 55388-4545 | 2006-06-18 |
| 1780668574 | Jason Keith Grimes | Physical Therapist | 27 Siemon Company Dr, Watertown, CT 06795-2654 | 2005-12-05 |
| 1407852775 | Kevin L Browne | Physical Therapist | 485 Arsenal St, Watertown, MA 02472-5091 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760152 | Molly Ripp | Physical Therapist | 1165 Northern Blvd Ste 403, Manhasset, NY 11030-3048 | 2020-11-02 |
| 1982202024 | Integrated Pt2 Pllc | Physical Therapist | 4720 Center Blvd Apt 3006, Long Island City, NY 11109-5648 | 2020-10-12 |
| 1891392940 | Dr Omolola Omishore Pt, P.C. | Physical Therapist | 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 | 2020-10-01 |
| 1912514704 | Hochung Jeon | Physical Therapist | 4545 Center Blvd Apt 904, Long Island City, NY 11109-5917 | 2020-09-25 |
| 1831704469 | Colleen M Brough | Physical Therapist | 710 W 168th St Ste 336, New York, NY 10032-3726 | 2020-09-10 |
| 1225641731 | Kyle Dillon | Physical Therapist | 667 Stoneleigh Ave Ste 11, Carmel, NY 10512-2454 | 2020-08-25 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1194335059 | Donn Samson | Physical Therapist | 8762 52nd Ave Fl 2, Elmhurst, NY 11373-3938 | 2020-08-05 |
| 1679195499 | Vital Rehab LLC | Physical Therapist | 3165 Nostrand Ave Apt 4e, Brooklyn, NY 11229-3243 | 2020-05-14 |
| 1508485657 | Melvin Varghese | Physical Therapist | 172 Hoover Rd, Yonkers, NY 10710-3409 | 2020-04-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.