Avathar Smucker

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

016296 Issued in OH

Practice address

5130 Bradenton Ave Ste B
Dublin, OH 43017-7068

Phone

(614) 336-8733

NPI assigned

Jun 3, 2016

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

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohrh, LLCGroup PAC ID 5991942898, 154 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ohrh, LLC

  • Physical Therapy Clinic/Center
  • Grove City, OH
  • NPI 1770060212
  Medicare reassignment Care Compare group NPD
• Ohrh, LLC

  • Physical Therapy Clinic/Center
  • Chillicothe, OH
  • NPI 1265140917

  Physical Therapist

  NPD

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1013366764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 1/2 MICHIGAN AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432012636",
            "telephone_number": "419-908-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 BRADENTON AVE STE B",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177068",
            "telephone_number": "614-336-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMUCKER",
        "first_name": "AVATHAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "016296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Smith, QMHS
• Timyota Matthea Smith, LPN
• Veda Smith
• Shawna Smoot
• SMR Banyan Tree, Inc.
• Alexander Snavley, CNP
• Latoya Snell
• Jaime Snellgrove, RN
• Derick Snider
• Madison Olivia Snider, OTR/L

• Physical Therapist in Dublin, OH
• Providers in Dublin, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.