Jeanne Marie Smith, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00652000 Issued in NJ

Practice address

737 Route 22 West
Ethicon Employee Health Center
Bridgewater, NJ 08876

Phone

(908) 218-3117

NPI assigned

Mar 8, 2013

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

Other names 1

• Jeanne Marie Radwanski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1306187877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LINDBERGH LN",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201207",
            "telephone_number": "973-945-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 ROUTE 22 WEST",
            "address_2": "ETHICON EMPLOYEE HEALTH CENTER",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "08876",
            "telephone_number": "908-218-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00652000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "RADWANSKI",
            "middle_name": "MARIE",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Douglas A Slaughter, MD
• Luanne Sles, MA, LPC
• Sylvia Slodziak
• Ashley Slover
• Carol Jeannette Smith
• Julian Smith
• Kalisha Denea Smith, MSW
• Leslie A Smith, SLP
• Summer Smith
• Cara Winston Zeldis Snyder, MD

• Physical Therapist in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.