Peggy Smith, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

021885 Issued in OH

Practice address

309 Garrison St
Fremont, OH 43420-3031

Phone

(567) 342-3231

NPI assigned

Aug 19, 2016

Last updated

Aug 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1225583230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 N SANDUSKY ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831545",
            "telephone_number": "567-342-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 GARRISON ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203031",
            "telephone_number": "567-342-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PEGGY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "OH",
            "license": "021885",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "021885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "IAG927A76724",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Smalldon, PTA
• Jacqueline Smith
• Jeremy C Smith, PT
• Margaret Smith, RN ADHS
• Nelson Eugene Smith, DENTIST
• Quinton Smith, CT
• Susan Elizabeth Smith, MD
• Vickie L Sneath, PT
• Darren L Snodgrass, DC
• Blanca Snyder

• Specialist in Fremont, OH
• Providers in Fremont, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.