NPI 1033357165

Jason Ryan Smith, DPT

Practitioner Physical Therapist Irvine, CA

Practice location

Address: 17332 von Karman Ave Suite 120, Irvine, CA 92614-6242
Phone: (949) 861-8600
Fax: (949) 861-8601
Mailing address: 6133 Bellflower Blvd, Lakewood, CA 90713-1063

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT 35281 (CA)

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Registry record

NPI: 1033357165
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jan 2009
Record last updated: 27 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.