Patrice Helen Smith, LPT

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

PT8079 Issued in OH

Practice address

405 North Park Ave
Wellston, OH 45692-1930

Phone

(740) 384-5611

NPI assigned

Jul 16, 2013

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": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1114368347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MADISON AVE",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "456618074",
            "telephone_number": "740-708-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NORTH PARK AVE",
            "city": "WELLSTON",
            "state": "OH",
            "postal_code": "456921930",
            "telephone_number": "740-384-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PATRICE",
        "middle_name": "HELEN",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "PT8079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Dawn Sims
• Kendra K Sims, RN
• Joanne Skaj
• Tina Marie Slater
• Mackensie Smith, COTA/L
• Beth Ann Spurlock
• Erica Squires
• Brandy L Stacey
• Mary Stevens, CPHT
• Tandem Healthcare of Wellston, Inc.

• Skilled Nursing Facility in Wellston, OH
• Providers in Wellston, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.