MEDICARE: MAKAYLA TAYLOR 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
1	225100000X	Physical Therapist	PT022204	OH

General Provider Information

NPI Number	:	1245181064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAKAYLA TAYLOR SMITH DPT

Provider Business Mailing Address
First Line	:	351 VINEYARD DR APT 403
Second Line	:
City	:	BROADVIEW HEIGHTS
State	:	OH
Zip	:	44147-3356
Country	:	US
Telephone Number	:	216-903-6579
Fax Number	:

Provider Business Practice Location Address
First Line	:	11900 FAIRHILL RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-1062
Country	:	US
Telephone Number	:	216-983-8011
Fax Number	:

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

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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