Tammy Lisa Smith, PTA

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

6514794 Issued in NY

Practice address

58 Locke Dr
Binghamton, NY 13903-2328

Phone

(607) 772-7670

NPI assigned

Nov 23, 2010

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1053613059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 LOCKE DR",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139032328",
            "telephone_number": "607-772-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 LOCKE DR",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139032328",
            "telephone_number": "607-772-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TAMMY",
        "middle_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "6514794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Smith, RD
• Rhonda Smith, LPN
• Sarah L Smith, LMSW
• Selah E Smith
• Sheena Ann Smith, RN
• Theresa Smith, LPN
• Victoria Louise Smith, LMSW
• Virginia Marie Smith, LMSW
• Griffin G Smolar, AEMT
• Dianne Leslie Snell

• Physical Therapy Clinic/Center in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.