Joshua Smith, DPT

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

PTO019801 Issued in PA

Practice address

1812 Marsh Rd
Store 505
Wilmington, DE 19810-4581

Phone

(302) 793-0432

Fax

(302) 793-0400

NPI assigned

Jun 9, 2009

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ati Holding LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Abingdon, MD
  • NPI 1487139283
  NPD (past)
• Harford County Wellness Center

  • Occupational Therapist
  • Abingdon, MD
  • NPI 1639117377
  NPD (past)

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1245466895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 BOX HLL CORP CTR DR",
            "address_2": "SUITE G",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091261",
            "telephone_number": "410-569-4806",
            "fax_number": "410-569-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 MARSH RD",
            "address_2": "STORE 505",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104581",
            "telephone_number": "302-793-0432",
            "fax_number": "302-793-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOSHUA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "PA",
            "license": "PTO019801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC,AMERIHEALTH",
            "identifier": "200619466",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eva M Smith, BCBA
• Ida O Smith
• Inez S Smith, BA ICADC
• Jennifer Smith, FNP-BC
• Joanna Smith, PHD
• Kimara Smith
• Kirsten M Smith, MD
• Kysha Smith
• Lakeisha Monique Smith I
• Lakemia Smith

• Rehabilitation Practitioner in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Rehabilitation Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.