| Doctor Name: | DR. JASON RYAN SMITH |
| NPI Number: | 1033357165 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.T. |
| License Number: | PT 35281 |
| Business Practice Address: | 17332 Von Karman Ave Suite 120 Irvine, CA - 926146242 |
| Business Phone Number: | 9498618600 |
| Business Fax Number: | 9498618601 |
| Mailing Address: | 6133 Bellflower Blvd, LAKEWOOD |
| State: | CA |
| Postal Code: | 907131063 |
| Phone Number: | 5629200806 |
| Fax Number: | |
| NPI Enumeration Date: | 01/27/2009 |
| NPI Last Update Date: | 01/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 35281 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |