NPI Code Detail JSON Logo

1942555008 NPI number — KAYLA NICOLE SMITH DPT

NPI Number: 1942555008
Health Care Provider/Practitioner: KAYLA NICOLE SMITH DPT

Information about “1942555008” NPI (KAYLA NICOLE SMITH DPT) exists in 1942555008 in HTML format HTML  |  1942555008 in plain Text format TXT  |  1942555008 in PDF (Portable Document Format) PDF  |  1942555008 in an XML format XML  formats.

NPI Number : 1942555008 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942555008",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMITH",
    "FirstName": "KAYLA",
    "MiddleName": "NICOLE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FIRSTIUN",
    "OtherFirstName": "KAYLA",
    "OtherMiddleName": "NICOLE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "DPT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6 HIGHLAND DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EAST GREENBUSH",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12061-1808",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "518-852-0901",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1270 BELMONT AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SCHENECTADY",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12308-2104",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "518-362-4500",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/16/2012",
    "LastUpdateDate": "06/30/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "035262",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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