Active NPI
Glison Angela Lehto Smith, DPT
- Physical Therapist
- Lewiston, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4062
- Practice address
- 1977 Lisbon Rd
Lewiston, ME 04240-1415 - Phone
- (207) 784-3400
- Fax
- (207) 784-6400
- NPI assigned
- Sep 16, 2013
- Last updated
- Aug 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT4062 | ME | Primary |
Addresses
Primary practice location
1977 Lisbon Rd
Lewiston, ME 04240-1415
Mailing address
10 Furbush St
Lewiston, ME 04240-3812
Phone (207) 441-6189
Other practice location 1
128 Middle St
Farmington, ME 04938-6937
Phone (207) 778-6469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current | Accepting new patients | |
| Head to Toe Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Central Maine Medical Center | Current | Accepting new patients | |
| Elevation Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
128 Middle St
Farmington, ME 04938
Phone (207) 778-6469
1977 Lisbon Rd
Lewiston, ME 04240
Phone (207) 784-3400
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
dba CMMC Specialty Pharmacy
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
dba Allied Physical Therapy
- Physical Therapist
- Farmington, ME
- NPI 1962011387
-
- Physical Therapist
- Lewiston, ME
- NPI 1255432449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1245666767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 FURBUSH ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042403812",
"telephone_number": "207-441-6189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1977 LISBON RD",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042401415",
"telephone_number": "207-784-3400",
"fax_number": "207-784-6400"
}
],
"practiceLocations": [
{
"address_1": "128 Middle St",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "ME",
"postal_code": "049386937",
"country_code": "US",
"telephone_number": "207-778-6469",
"fax_number": "207-778-3486",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "GLISON",
"middle_name": "ANGELA LEHTO",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-16",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT4062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.