Rebecca A Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA011498 Issued in OH

Practice address

101 Mills PL
New Lebanon, OH 45345-1430

Phone

(937) 687-1311

NPI assigned

May 1, 2018

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": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1124517552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 CHANNINGWAY DR APT B",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453248713",
            "telephone_number": "937-750-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MILLS PL",
            "city": "NEW LEBANON",
            "state": "OH",
            "postal_code": "453451430",
            "telephone_number": "937-687-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA011498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of Ohio Inc (Rite Aid Pharmacy 00449)
• Molly Rossi, APRN
• Samaritan Family Care Inc (New Lebanon Family Care)
• Brenda Sue Singer, LPN
• Jay Alan Singer, LPN
• America Jean Swartzel, MS, CCC-SLP
• Dikta Thapa
• Village of New Lebanon (New Lebanon Fire Dept.)
• Rainy Weatherholt, PMHNP-BC
• Shelby Glen Young, R. PH.

• Physical Therapy Assistant in New Lebanon, OH
• Providers in New Lebanon, 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 May 1, 2018; 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.