Mary Smith

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

1032 Macgill St
Pulaski, VA 24301-4022

Phone

(540) 509-5020

NPI assigned

Mar 1, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Pediatric Therapy Services

  • Early Intervention Provider Agency
  • Pulaski, VA
  • NPI 1043605892
  NPD (past)

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1245939008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 MACGILL ST",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243014022",
            "telephone_number": "540-509-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 MACGILL ST",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243014022",
            "telephone_number": "540-509-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Williams Scott, FNP-C
• Saqib Mian Shah, MD
• Candice Shay, PHARMD
• James Sifford
• Donna Kay Smith, LPTA
• Cynthia Martin Southern, DDS
• Southwest Surgical Associates, Inc.
• Robert Springer, CRNA
• Amber Stacy
• Eric Christian Steen, DO

• Physical Therapy Assistant in Pulaski, VA
• Providers in Pulaski, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.