Individual provider Active NPI

Reina Smith, PT

  • Physical Therapist
  • Broadview Heights, OH
National Provider Identifier
1033216452
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7621 Issued in OH
Practice address
7000 Town Centre Dr
Suite 400
Broadview Heights, OH 44147-4008
Phone
(440) 526-8566
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 7621 OH Primary

Addresses

Primary practice location

7000 Town Centre Dr
Suite 400
Broadview Heights, OH 44147-4008

Mailing address

17411 Clifton Blvd
Lakewood, OH 44107-2211

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7621OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tricounty Physical Therapy Inc Physical Therapist Past Accepting new patients
Center of Orthopedic Surgery Inc Past Accepting new patients
Healthquest of Avon, Inc. Physical Therapist Past Accepting new patients
Tricounty Physical Therapy Physical Therapist Past Accepting new patients
Equity Recovery Group, Inc. Physical Therapist Past Accepting new patients
Two Enterprises Inc. Physical Therapist PastSince Aug 1, 2007 Accepting new patients

Organizations & group practices 6

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033216452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17411 CLIFTON BLVD",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441072211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 TOWN CENTRE DR",
            "address_2": "SUITE 400",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441474008",
            "telephone_number": "440-526-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REINA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "7621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview Heights, OH

Sources for this page

  • 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.