Raema Lynn Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1764 Issued in OR

Practice address

600 Dale Kuni Rd
Creswell, OR 97426-9874

Phone

(541) 895-2216

NPI assigned

Dec 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emerald Valley Physical Therapy, P.C.

  dba Drain Physical Therapy

  • Physical Therapist
  • Creswell, OR
  • NPI 1083838478
  NPD (past)
• Select Physical Therapy Orthopedic Services, Inc.

  • Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1881180636
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013078112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34820 HIGHWAY 58",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974059629",
            "telephone_number": "541-744-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DALE KUNI RD",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "974269874",
            "telephone_number": "541-895-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RAEMA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "1764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Rose
• David Sanderbrink
• Barbara Schwan
• Elena D Shore, LCSW
• Tyler Aaron Shupe, DPT
• Jennifer Sullivan
• Tamara Blum DC PC (Creswell Chiropractic)
• Therapeutic Associates Inc (TAI - Creswell Physical Therapy)
• Therapeutic Associates, Inc (TAI - Creswell Physical Therapy)
• Sydney Trimboli, LPC

• Physical Therapist in Creswell, OR
• Providers in Creswell, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.