MEDICARE: APRIL SMITH PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	10461	NC
2	225100000X	Physical Therapist	1319517	TX
3	225100000X	Physical Therapist	42110	CA

General Provider Information

NPI Number	:	1124151774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL SMITH PT

Provider Business Mailing Address
First Line	:	PO BOX 44
Second Line	:
City	:	BAYSIDE
State	:	CA
Zip	:	95524-0044
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4605 VALLEY WEST BLVD
Second Line	:
City	:	ARCATA
State	:	CA
Zip	:	95521-4635
Country	:	US
Telephone Number	:	707-825-4950
Fax Number	:	707-825-4951

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	11/26/2024

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Directions to “ APRIL SMITH PT” Practice Location

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