Active NPI
Susan Lucille Smith, PT
- Physical Therapist
- Woodruff, SC
National Provider Identifier
1043575020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 294
- Practice address
- 360 Toy LN
Woodruff, SC 29388-9768 - Phone
- (864) 316-1536
- NPI assigned
- Jul 6, 2012
- Last updated
- Jul 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 294 | SC | Primary |
Addresses
Primary practice location
360 Toy LN
Woodruff, SC 29388-9768
Mailing address
360 Toy LN
Woodruff, SC 29388-9768
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)
- Not enrolled
Organizations & group practices 1
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.
-
- Pediatric Physical Therapist
- Greer, SC
- NPI 1861441016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341532800000",
"number": "1043575020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 TOY LN",
"city": "WOODRUFF",
"state": "SC",
"postal_code": "293889768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 TOY LN",
"city": "WOODRUFF",
"state": "SC",
"postal_code": "293889768",
"telephone_number": "864-316-1536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SUSAN",
"middle_name": "LUCILLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-06",
"last_updated": "2012-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodruff, SC
- Laura Shields
- Toshiva Deshane Shippy, FNP
- Lindsay Jeanne Small, MA, BCBA
- Jonathan Gregory Smith, DMD, MHS
- Kristina Smith, M.A., CCC-SLP
- South Carolina CVS Pharmacy LLC (CVS Pharmacy # 02446)
- South Carolina Post Acute Medical Services 1 PC
- Spartanburg County School District Four
- Spartanburg Medical Center (Medical Group of the Carolinas - Family Medicine - Woodruff)
- Andrea Kittye Stanley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.