Chad Smith I, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-011731 Issued in OH

Practice address

12115 Sheraton LN
Cincinnati, OH 45246-1613

Phone

(513) 347-9999

Fax

(513) 346-7299

NPI assigned

Mar 8, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: csmith91029@direct.bsmhealth.org

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390176000000",
    "number": "1124159652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12115 SHERATON LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452461613",
            "telephone_number": "513-347-9999",
            "fax_number": "513-346-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12115 SHERATON LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452461613",
            "telephone_number": "513-347-9999",
            "fax_number": "513-346-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHAD",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2014-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-011731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0214940",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Smith, LISW-S
• Carlos Deandre Smith
• Carrie Lenore Smith, RD
• Casey Smith, OTR/L
• Celia Smith
• Chardonnay Briana Smith
• Chelsea Smith
• Cheryl Smith
• Christina Smith, LPC
• Christina Renee Smith, LPN

• Physical Therapist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; 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.