Susan Elizabeth Smith, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT016244 Issued in PA

Practice address

529 High St
Lock Haven, PA 17745-3029

Phone

(570) 748-8034

Fax

(570) 748-0323

NPI assigned

Mar 20, 2018

Sex

Female

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1295239796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 HIGH ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177453029",
            "telephone_number": "570-748-8034",
            "fax_number": "570-748-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 HIGH ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177453029",
            "telephone_number": "570-748-8034",
            "fax_number": "570-748-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "PT016244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Smeal
• Anna Mae Smith, PA-C
• Cerri Smith, COTA/L
• Jamie Helen Smith, LMT
• Laura May Smith, M.D.
• Delilah Kathryn Snook
• Riley Snyder
• Carmen Spinney, M.D.
• Elliott Splain
• Sport and Spine Chiropractic Rehab

• Physical Medicine & Rehabilitation Physician in Lock Haven, PA
• Providers in Lock Haven, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.