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Nancy Marie Smyth, MOT/OTR/L

Individual provider Active NPI Home Modifications Contractor · Waitsfield, VT

NPI 1053637397 · NPPES record last updated Apr 12, 2010

Key facts

NPI
1053637397
Entity type
Individual (NPI type 1)
Primary specialty
Home Modifications Contractor 171WH0202X
License
0720000083 (VT)
Practice address
105-4 Madriver Green
Waitsfield, VT 05673-0760
Phone
(802) 279-2091
Fax
(802) 496-9874
NPI assigned
Apr 12, 2010
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0720000083VTMDHome Modifications Contractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy Marie Smyth. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X 0720000083 VT Yes

Addresses

Primary practice location

105-4 Madriver Green
Waitsfield, VT 05673-0760

Mailing address

PO Box 760
Waitsfield, VT 05673-0760
Phone (802) 279-2091

Other names

  • Mrs. Nancy Marie Frey Former name

Other providers in Waitsfield, VT

All providers in Waitsfield, VT · Home Modifications Contractor in Vermont

Sources for this page

Verify at the official NPI Registry.