Colleen Marie Smith, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE002888L Issued in PA

Practice address

4227 Manor Drive
Pleasant Valley Manor
Stroudsburg, PA 18360

Phone

(570) 992-4172

Fax

(570) 402-0901

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114148749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 DANIELS ROAD",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "18436",
            "telephone_number": "570-937-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4227 MANOR DRIVE",
            "address_2": "PLEASANT VALLEY MANOR",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "18360",
            "telephone_number": "570-992-4172",
            "fax_number": "570-402-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE002888L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payal Singh, DDS
• Sudarshan Kumar Singla, M.D.
• Sisters in Action Complete LLC (S.I.A.C. Home Care Agency)
• Jacinta Ann Smedley
• Ashley Margaret Smith, PHARM.D.
• Denise Smith, ATC, LAT
• DO Costa Sinclair Smith, BCBA
• Lainie Smith, PA-C
• Noah Smith, CRNP
• Shannon Smith

• Physical Therapy Assistant in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• 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.