Raema Lynn Smith, PT

Individual provider Active NPI Physical Therapist · Creswell, OR

NPI 1013078112 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1013078112
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
1764 (OR)
Practice address
600 Dale Kuni Rd
Creswell, OR 97426-9874
Phone
(541) 895-2216
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1764ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Orthopedic Services, Inc. Past Accepting new patients
Emerald Valley Physical Therapy, P.C. Physical Therapist Past
since Jan 1, 2007
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1764 OR Yes

Addresses

Primary practice location

600 Dale Kuni Rd
Creswell, OR 97426-9874

Mailing address

34820 Highway 58
Eugene, OR 97405-9629
Phone (541) 744-9657

Other providers in Creswell, OR

All providers in Creswell, OR · Physical Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.