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NPI Code Detail

MEDICARE: CASSIDY UNIQUE JENAI SMITH DPT

MEDICARE: CASSIDY UNIQUE JENAI SMITH DPT
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
1225100000XPhysical TherapistPT43977FL

General Provider Information

NPI Number : 1225991474
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSIDY UNIQUE JENAI SMITH DPT
Provider Business Mailing Address
First Line : 4705 S APOPKA VINELAND RD STE 100
Second Line :
City : ORLANDO
State : FL
Zip : 32819-3151
Country : US
Telephone Number : 407-905-9300
Fax Number :
Provider Business Practice Location Address
First Line : 4705 S APOPKA VINELAND RD STE 100
Second Line :
City : ORLANDO
State : FL
Zip : 32819-3151
Country : US
Telephone Number : 407-905-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2025
Last Update Date : 12/15/2025

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