Christopher John Smolko, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

010069 Issued in OH

Practice address

7230 Mentor Ave
Mentor, OH 44060-7522

Phone

(440) 946-5858

Fax

(440) 918-4870

NPI assigned

Oct 11, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Custom Care Rehab LLC 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10129/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/7446/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Custom Care Rehab, LLC

  • Physical Therapist
  • Peninsula, OH
  • NPI 1619598778

  OH, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Affiliated Podiatrists, Inc

  • Public Medicine Podiatrist
  • Mentor, OH
  • NPI 1689771685
  NPD (past)
• Precision Orthopaedic Specialties, Inc.

  • Orthopaedic Surgery Physician
  • Chardon, OH
  • NPI 1649257973
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1215025564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440607522",
            "telephone_number": "440-946-5858",
            "fax_number": "440-918-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440607522",
            "telephone_number": "440-946-5858",
            "fax_number": "440-918-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLKO",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "010069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "20-0715484",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO LICENSE #",
            "identifier": "010069",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Smith, LISW -S
• Scott Michael Smith
• Sherise Smith
• Vanessa Renee Smith, RN
• Veronica Smitley, MA, CCC-SLP
• Kristen Leah Smylie, FNP
• Elissa Snouffer, PT, DPT
• Codi L Snyder
• Chelsea Soble
• Society for Rehabilitation

• All providers in Mentor, OH
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.