Individual provider Active NPI

Vincent Smith, P.T.

  • Physical Therapist
  • Thornville, OH
National Provider Identifier
1033212352
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3466 Issued in OH
Practice address
8745 Blackbird LN
Thornville, OH 43076-9515
Phone
(740) 246-5843
Fax
(740) 246-6480
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3466 OH Primary

Addresses

Primary practice location

8745 Blackbird LN
Thornville, OH 43076-9515

Mailing address

PO Box 273
8745 Blackbird Lane
Thornville, OH 43076-0273
Phone (740) 246-5843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060314000693 OH Practitioner - Physical Therapist in Private Practice 3678559044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Terra Health LLCGroup PAC ID 0749297885, 2 clinicians

Practice addresses (Care Compare)

8745 Blackbird LN
Thornville, OH 43076-9515
Phone (740) 246-5483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3466OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Terra Health, LLC Physical Therapist CurrentSince Mar 1, 2006 Accepting new patients
Terra Health Inc. Past Accepting new patients

Locations

8745 Blackbird Ln
Thornville, OH 43076
Phone (740) 246-5483

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1033212352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 273",
            "address_2": "8745 BLACKBIRD LANE",
            "city": "THORNVILLE",
            "state": "OH",
            "postal_code": "430760273",
            "telephone_number": "740-246-5843",
            "fax_number": "740-246-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8745 BLACKBIRD LN",
            "city": "THORNVILLE",
            "state": "OH",
            "postal_code": "430769515",
            "telephone_number": "740-246-5843",
            "fax_number": "740-246-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "VINCENT",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "3466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.