CASEY SHANE SMITH (NPI# 1811477326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811477326 |
| Entity Type | Individual |
| Full Name | CASEY SHANE SMITH |
| Credential | DPT |
| Practice Address |
50 N Medical Dr Salt Lake City UT 84132-0001 |
| Mailing Address |
2725 S 700 E Apt F Salt Lake City UT 84106-2800 |
| Practice Telephone | 9198158594 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
108621452401 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549979 | Casey Smith | Student in an Organized Health Care Education/Training Program | 2 Sunnyside Acres, Edinburg, IL 62531-9407 | 2020-05-14 |
| 1962037945 | Casey Smith | Counselor | 3008 Inverness Dr, Toms River, NJ 08753-6320 | 2020-03-10 |
| 1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
| 1306337126 | Casey Marie Smith | Optometrist | 1024 N Plum St, Springfield, OH 45504-2108 | 2018-05-29 |
| 1871099333 | Casey Lee Smith | Student in an Organized Health Care Education/Training Program | 402 Dickinson St Ste 360, San Diego, CA 92103-6902 | 2018-04-03 |
| 1023524196 | Casey Joe Smith | Nurse Practitioner | 498 Nw 18th St Ste D, Richmond, IN 47374-2851 | 2017-12-27 |
| 1255861175 | Casey Smith | Case Manager/Care Coordinator | 600 Highway 425 N Ste B, Monticello, AR 71655-4020 | 2017-06-13 |
| 1235665746 | Casey Grier Smith | Student in an Organized Health Care Education/Training Program | 3628 Autumn Ave, Memphis, TN 38122 | 2017-05-03 |
| 1205248911 | Casey O'malley Smith | Occupational Therapist | 1913 Alfresco Pl # 1, Louisville, KY 40205-1809 | 2014-05-29 |
| 1801135587 | Casey Elizabeth Smith | Social Worker | 385 S Lemon Ave # E426, Walnut, CA 91789-2727 | 2013-01-31 |
| Street Address |
50 N MEDICAL DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84132-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477555696 | Yaw Ababio Boateng | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2005-06-01 |
| 1073114864 | Stephanie Bevill | Registered Nurse | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-11-06 |
| 1609477801 | Justin Larson | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-11-04 |
| 1366042467 | Kirsty Aleah Vannoy | Occupational Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-10-28 |
| 1629675673 | Erica Kueneman | Nurse Practitioner | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-10-02 |
| 1487266680 | Michelle A Barker | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-19 |
| 1770195943 | Lisa M Schaeffer | Nurse Practitioner | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-19 |
| 1194336289 | Michelle Rios | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-12 |
| 1932710027 | Tanner Ladsten | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-12 |
| 1578174660 | Rachel Sette | Occupational Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275162331 | Scott Andrew Rizzi | Student in an Organized Health Care Education/Training Program | 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 | 2020-04-02 |
| 1609421403 | Monika Fleckenstein | Ophthalmology | 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 | 2019-08-08 |
| 1366975914 | Jacob Brandenburg | Anesthesiology | School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 | 2017-04-10 |
| 1568815082 | Anastasia Neufeld | Ophthalmology | 65 Mario Capecchi Drive, Salt Lake City, UT 84132 | 2016-07-20 |
| 1912350083 | Gmaan Alzhrani | Student in an Organized Health Care Education/Training Program | 175 N. Medical Drive East , Salt Lake City, UT 84132 | 2016-07-13 |
| 1831544600 | Drew Goerke | Occupational Therapist | 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 | 2016-04-29 |
| 1891179024 | Bong Jik Kim | Student in an Organized Health Care Education/Training Program | 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 | 2015-07-17 |
| 1043699101 | Chris Anderson | Physician Assistant | 30 North 1900 East #3c344, Salt Lake City, UT 84132 | 2015-05-22 |
| 1689061822 | Ryan Clark | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 | 2015-04-24 |
| 1649666264 | Kevin Conrad | Anesthesiology | 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 | 2015-04-09 |
| Find all providers in zip 84132 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962727727 | Spencer John Thompson | Physical Therapist | University of Utah Medical Ctr, 50 N Medical Drive, Salt Lake City, UT 84132-0001 | 2010-04-05 |
| 1114044187 | Diane E. Nicholson | Physical Therapist | 520 Wakara Way Ste 320, University of Utah, Salt Lake City, UT 84108-1213 | 2007-03-23 |
| 1649750621 | Nicholas Burke | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2018-08-18 |
| 1851744965 | Molly Watkins | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2016-07-14 |
| 1285081356 | Andrew Scott Riddle | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2016-05-18 |
| 1578961041 | Evan Michael Pucillo | Physical Therapist | 50 N Medical Dr, 1r 5 Som, Salt Lake City, UT 84132-0001 | 2014-12-15 |
| 1720496326 | Kathleen Grace Jackson | Physical Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2014-07-27 |
| 1902219025 | Danica Rae Dummer | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-06-05 |
| 1265870232 | Kara Kimiko Tucker | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2013-06-12 |
| 1730460486 | Christopher Steven Walter | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2011-09-07 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84132 |
Please comment or provide details below to improve the information on CASEY SHANE SMITH.
| 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.