Walter F Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070001664 Issued in IL

Practice address

10024 Skokie Blvd Ste 304
Skokie, IL 60077-9945

Phone

(847) 679-4824

Fax

(847) 679-4090

NPI assigned

Aug 10, 2005

Sex

Male

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rehabilitation Networks Inc.

  • Physical Therapy Clinic/Center
  • Evanston, IL
  • NPI 1982877718

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1124020219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 SKOKIE BLVD STE 304",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600779945",
            "telephone_number": "847-679-4824",
            "fax_number": "847-679-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 SKOKIE BLVD STE 304",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600779945",
            "telephone_number": "847-679-4824",
            "fax_number": "847-679-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WALTER",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070001664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Smith, DC, LAT
• Richard Anthony Smith
• Sheila Smith, RMA
• Stephanie Smith
• Trisha Smith, MS, BCBA
• Lisa Sniderman, LCSW
• Justin Daniel Sobinsky
• Allegra Socki, LCPC, ATR
• Joseph John Sodini, D.D.S.
• Samantha Sally Sodini, DMD

• Physical Therapist in Skokie, IL
• Providers in Skokie, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.