Luke Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2011 Rock St
Suite E
Peru, IL 61354-1385

Phone

(815) 220-0058

Fax

(815) 550-0082

NPI assigned

Jan 10, 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

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164572608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 ROCK ST",
            "address_2": "SUITE E",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541385",
            "telephone_number": "815-220-0058",
            "fax_number": "815-550-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 ROCK ST",
            "address_2": "SUITE E",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541385",
            "telephone_number": "815-220-0058",
            "fax_number": "815-550-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LUKE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moira Sibbaluca
• Katherine Elizabeth Siembab
• Spalding L Slevin IV, PT, CMPT
• Amy Lynn Smith, APN
• Christopher Shane Smith
• Ryan Jeffrey Smith, D.C.
• Jens William Soderholm, DC
• Dawn Sorensen, RPH
• Veronica Spangler, FNP-C
• Patrick Springer, DNP, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.