IndividualActive
Stephen Smith, PT, DPT, SCS, CSCS
NPI 1376879130 · Sports Physical Therapist · Springfield, VA
Provider details
- NPI number
- 1376879130
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, SCS, CSCS
- Sex
- Male
- Sole proprietor
- No
- License
- 23451 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6355 Willowfield Way
Springfield, VA 22150-1038
Phone: (623) 308-4573
Approximate (ZIP-level) locationGet directions
Mailing address
1020 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4838
Registry dates
- Enumerated
- 2006-08-20
- Last updated
- 2020-09-22
- Certified
- 2020-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.