Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edward Smith, PA-C

Individual provider Physician Assistant · NPI 1164895405

Edward Smith, PA-C is a Physician Assistant in Colorado Springs, Colorado. Qualified in 2015, 11 years ago. Practices with Agape Physical Therapy and Sports Rehabilitation LP, a 677-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
11
Licensed in
CO
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6011 E Woodmen Rd Ste 120
Colorado Springs, CO 80923-2602
Phone: (719) 571-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0004445 (CO)

Record details

NPI number1164895405
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 9, 2015
Last updated in NPPESNovember 24, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Agape Physical Therapy And Sports Rehabilitation Lp — 677 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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