Active NPI
Anne Smith
- Physical Therapy Assistant
- South Deerfield, MA
National Provider Identifier
1255727582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 589
- Practice address
- 21 Grey Oak LN
South Deerfield, MA 01373-9619 - Phone
- (414) 397-3590
- NPI assigned
- Apr 14, 2015
- 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 Therapy Assistant | 225200000X | 589 | MA | Primary |
Addresses
Primary practice location
21 Grey Oak LN
South Deerfield, MA 01373-9619
Mailing address
PO Box 934
Northampton, MA 01061-0934
Phone (413) 397-3590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 589 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428969600000",
"number": "1255727582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 934",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010610934",
"telephone_number": "413-397-3590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 GREY OAK LN",
"city": "SOUTH DEERFIELD",
"state": "MA",
"postal_code": "013739619",
"telephone_number": "414-397-3590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ANNE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-14",
"last_updated": "2015-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MA",
"license": "589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Deerfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.