Patti-Jo Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

005013 Issued in NY

Practice address

140 W Main St
Cuba, NY 14727-1317

Phone

(585) 968-2000

Fax

(585) 968-3898

NPI assigned

Sep 12, 2013

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

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1205261997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W MAIN ST",
            "city": "CUBA",
            "state": "NY",
            "postal_code": "147271317",
            "telephone_number": "585-968-2000",
            "fax_number": "585-968-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W MAIN ST",
            "city": "CUBA",
            "state": "NY",
            "postal_code": "147271317",
            "telephone_number": "585-968-2000",
            "fax_number": "585-968-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PATTI-JO",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "005013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willard Lee Simons, DDS
• Willard Nicholas Simons
• Maggie Jane Smith-Pomeroy, M.A., CCC-SLP
• Brittany Marie Smith, PHARM D
• Carolyn Joan Smith, BS IN PT
• Bryan S Snyder
• Southern Tier Community Health Center Network Inc
• Mark Dominic Stancombe, RPA-C
• Steven R Sessler DDS PC
• Shayla Tatham

• All providers in Cuba, NY
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.