MR. KEITH ALTARIK SMITH (NPI# 1356799886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356799886 |
| Entity Type | Individual |
| Full Name | MR. KEITH ALTARIK SMITH |
| Practice Address |
421 Fayetteville St Suite 1100 Raleigh NC 27601-1792 |
| Mailing Address |
500 Fairway Dr Suite 102 Deerfield Beach FL 33441-1814 |
| Practice Telephone | 8888809270 |
| Mailing Telephone | 8888809270 |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950984 | Keith Edward Smith | Counselor | 288 Flynn Ave Apt 26, Burlington, VT 05401-5370 | 2020-07-29 |
| 1851886931 | Keith Smith | Behavior Technician | 3347 Del Mar Ave, Rosemead, CA 91770-2329 | 2018-06-29 |
| 1215309836 | Keith Smith | Contractor | 1755 State Route 39, Lucas, OH 44843 | 2015-10-22 |
| 1265877286 | Keith Smith | Pharmacist | 382 Ridge Dr, Hayden, AL 35079-7013 | 2013-05-03 |
| 1891027066 | Keith Joseph Smith | Pharmacist | 4290 W Vienna Rd, Clio, MI 48420-9454 | 2010-02-12 |
| 1205950730 | Keith Barry Smith | Technician/Technologist | 880 N Miramar Ave, Indialantic, FL 32903 | 2007-03-19 |
| 1235148859 | Keith Shipley Smith II | Dentist | 3212 Gulf Gate Dr, Sarasota, FL 34231-2404 | 2006-08-05 |
| 1194770362 | Keith Wayne Smith | Dentist | 2501 Market Trce, Ste A, Fort Smith, AR 72908-8677 | 2006-05-24 |
| 1447740295 | Keith A Smith | Marriage & Family Therapist | 5350 N Academy Blvd, Colorado Springs, CO 80918-4098 | 2018-05-17 |
| 1134626013 | Keith D. Smith | Community/Behavioral Health | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2018-04-09 |
| Street Address |
421 FAYETTEVILLE ST SUITE 1100 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27601-1792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902267818 | Temika Shea Rowell | Developmental Therapist | 421 Fayetteville St, Raleigh, NC 27601-1792 | 2016-03-19 |
| 1770190811 | Cargo Conveyance Intervention Inc | Non-emergency Medical Transport (VAN) | 421 Fayetteville St, Ste 1100, Raleigh, NC 27601-3000 | 2020-09-23 |
| 1083229918 | Crystal Dawn Allen | Behavior Technician | 421 Fayetteville St, Raleigh, NC 27601-1792 | 2020-09-08 |
| 1063048239 | Danielle Fouratt | Behavior Technician | 421 Fayetteville St, Raleigh, NC 27601-1792 | 2020-03-19 |
| 1609401652 | Christina Renee Jarman | Behavior Technician | 421 Fayetteville St, Raleigh, NC 27601-1792 | 2020-03-10 |
| 1063047017 | Indaysha Lewis | Behavior Technician | 421 Fayetteville St, Raleigh, NC 27601-1792 | 2020-03-10 |
| 1326671520 | Justice James | Behavior Technician | 421 Fayetteville St, Raleigh, NC 27601-1792 | 2020-02-16 |
| 1730737883 | Michelle Diane Smith | Behavior Technician | 421 Fayetteville St, Raleigh, NC 27601-1792 | 2019-09-02 |
| 1962068221 | Reyna Hernandez | Behavior Technician | 421 Fayetteville St, Raleigh, NC 27601-1792 | 2019-05-13 |
| 1205396553 | Alexandra Marie Sanchez-cardona | Behavior Technician | 421 Fayetteville St, Raleigh, NC 27601-1792 | 2019-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123061 | Sarah C Blankenship | Behavior Technician | 421 Fayette Street Suite 1100, Raleigh, NC 27601 | 2020-10-29 |
| 1700428513 | Amanda Sue Abner | Behavior Technician | 421 Fayetteville St. Suite 1100, Raleigh, NC 27601 | 2019-10-14 |
| 1720632680 | Courtney R Dickerson | Behavior Technician | 421 Fayettville St. Suite 1100, Raleigh, NC 27601 | 2019-07-30 |
| 1023533205 | Carolina Sport & Spine Physical Therapy, Inc. | Clinic/Center | 555 Fayetteville St Ste 201, Raleigh, NC 27601 | 2017-08-08 |
| 1902346067 | Nc Community Care Services Inc | Day Training, Developmentally Disabled Services | 555 Fayetteville Street, Ste. 201, Raleigh, NC 27601 | 2017-03-08 |
| 1649712399 | Sleep Health and Wellness Center, Pllc | Sleep Specialist, PhD | 555 S Wilmington St, Suite 201, Raleigh, NC 27601 | 2016-11-12 |
| 1093267817 | Kristen Ashley Eubanks | Behavior Technician | 421 Fayetteville Street Suite 1100, Raleigh, NC 27601 | 2016-10-27 |
| 1205281631 | Kayla Christian Hart | Developmental Therapist | 421 Fayetteville Street, Suite 1100, Raleigh, NC 27601 | 2016-05-04 |
| 1457759003 | Vanessa Lech | Social Worker | 555 Fayetteville St, Suite 201, Raleigh, NC 27601 | 2014-12-15 |
| 1649513177 | Manual Medicine Physical Therapy | Clinic/Center | 300 W. Hargett St., Apt. 307, Raleigh, NC 27601 | 2013-04-03 |
| Find all providers in zip 27601 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922585918 | Sherri Lambeth | Developmental Therapist | 5716 Heatherstone Dr, Raleigh, NC 27606-9342 | 2018-07-23 |
| 1245731207 | Taylor Lee Decesare | Developmental Therapist | 908 Lendermans Cir, Raleigh, NC 27603-7802 | 2018-02-26 |
| 1922514033 | Sara Curran Feole | Developmental Therapist | 231 Calibre Chase Dr Apt 304, Raleigh, NC 27609-7757 | 2017-12-27 |
| 1871003434 | Pamela Ashley Carlton | Developmental Therapist | 7610 Sunfield Cir Apt 303, Raleigh, NC 27617-8788 | 2017-10-09 |
| 1871041285 | Erica Etienne | Developmental Therapist | 421 Fayetteville Street, Suite 1100, Raleigh, NC 33441 | 2016-09-14 |
| 1205281631 | Kayla Christian Hart | Developmental Therapist | 421 Fayetteville Street, Suite 1100, Raleigh, NC 27601 | 2016-05-04 |
| 1902267818 | Temika Shea Rowell | Developmental Therapist | 421 Fayetteville St, Raleigh, NC 27601-1792 | 2016-03-19 |
| 1528428752 | Elizabeth Stiles | Developmental Therapist | 4030 Wake Forest Road, Suite 349, Raleigh, NC 27609-6800 | 2016-03-01 |
| 1689041097 | Jomall Cummings | Developmental Therapist | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-6800 | 2015-09-01 |
| 1043694037 | Beginning Steps Therapy Solutions | Developmental Therapist | 7611 Breezy Point Ln, Apt. 205, Raleigh, NC 27617-6792 | 2015-07-20 |
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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.