Shane T Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3441 Issued in SC

Practice address

2500 Winchester PL
Suite 100
Spartanburg, SC 29301-1550

Phone

(864) 574-7282

Fax

(864) 574-7664

NPI assigned

Jul 6, 2006

Last updated

Aug 8, 2007By the provider in NPPES

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

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boone Physician Services LLCGroup PAC ID 6507090644, 243 clinicians

Central Missouri Physical Therapy LLCGroup PAC ID 6901870187, 59 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Boone Physician Services, LLC

  • Multi-Specialty Clinic/Center
  • Columbia, MO
  • NPI 1760893259
  Medicare reassignment Care Compare group NPD
• Central Missouri Physical Therapy LLC

  dba Peak Sport and Spine

  • Physical Therapist
  • Columbia, MO
  • NPI 1558436592
  Medicare reassignment Care Compare group NPD
• Central Physical Rehabilitation and Sports Medicine, LLC

  • Physical Therapy Clinic/Center
  • Warrensburg, MO
  • NPI 1851425912

  Physical Therapist

  Medicare reassignment NPD
• Advanced Therapy Solutions, Inc.

  • Physical Therapist
  • Spartanburg, SC
  • NPI 1235197914
  NPD (past)
• Advanced Therapy Solutions, Inc.

  • Physical Therapist
  • Spartanburg, SC
  • NPI 1700055415
  NPD (past)
• Ats Kids LLC

  • Occupational Therapist
  • Spartanburg, SC
  • NPI 1053204198

  Physical Therapist

  NPD (past)
• Individualized Physical Therapy, Inc.

  • Physical Therapist
  • Greenville, SC
  • NPI 1184673071
  NPD (past)
• McCulloh Therapeutic Solutions

  • Speech-Language Pathologist
  • Spartanburg, SC
  • NPI 1710030143
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1215968110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 WINCHESTER PL",
            "address_2": "SUITE 100",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011550",
            "telephone_number": "864-574-7282",
            "fax_number": "864-574-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 WINCHESTER PL",
            "address_2": "SUITE 100",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011550",
            "telephone_number": "864-574-7282",
            "fax_number": "864-574-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANE",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "3441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Smith
• Morgan Smith, PT, DPT
• Quincella Smith, RN
• Ryan Boughton Smith, M.D.
• Samantha Smith
• Sharon Desiree Smith, CNA
• Shelby Patricia Smith, MD
• Shellie Smith, LMSW
• Susan E Smith, RN
• Terrance Joseph Smith, DO

• Physical Therapist in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Physical Therapist in South Carolina

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