Individual provider Active NPI

Cassandra Smego

  • Physical Therapist
  • Huntsburg, OH
National Provider Identifier
1124544556
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT026190 Issued in PA
Practice address
12496 Princeton Rd
Huntsburg, OH 44046-9792
Phone
(440) 635-5567
NPI assigned
Aug 17, 2017
Last updated
Aug 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT026190 PA Primary

Addresses

Primary practice location

12496 Princeton Rd
Huntsburg, OH 44046-9792

Mailing address

14130 Shawnee TRL
Middleburg Heights, OH 44130-4917
Phone (216) 225-1446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT026190PAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502928000000",
    "number": "1124544556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14130 SHAWNEE TRL",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441304917",
            "telephone_number": "216-225-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12496 PRINCETON RD",
            "city": "HUNTSBURG",
            "state": "OH",
            "postal_code": "440469792",
            "telephone_number": "440-635-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMEGO",
        "first_name": "CASSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.