Tamara Smalldon, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2663 Issued in OH

Practice address

600 N Brush St
Fremont, OH 43420-1402

Phone

(419) 334-9521

Fax

(419) 334-2045

NPI assigned

Jul 28, 2012

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": "1343433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343433600000",
    "number": "1124374020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2767 COUNTY ROAD 69",
            "city": "GIBSONBURG",
            "state": "OH",
            "postal_code": "434319709",
            "telephone_number": "419-334-9521",
            "fax_number": "419-334-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N BRUSH ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434201402",
            "telephone_number": "419-334-9521",
            "fax_number": "419-334-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLDON",
        "first_name": "TAMARA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-28",
        "last_updated": "2012-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "2663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Lynn Silcox, D.C.
• Tori Ann Silcox, APRN CNP
• SL Fremont, LLC
• Adrianna Slappey, DSP
• Amanda Slayton
• Jacqueline Smith
• Jeremy C Smith, PT
• Margaret Smith, RN ADHS
• Nelson Eugene Smith, DENTIST
• Peggy Smith, LMT

• Physical Therapy Assistant in Fremont, OH
• Providers in Fremont, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2012; 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.