Active NPI
Judith Ellen Smalley, P.T.
- Physical Therapist
- Lancaster, OH
National Provider Identifier
1336384841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.001718
- Practice address
- 5705 Lithopolis Rd NW
Lancaster, OH 43130-9515 - Phone
- (740) 654-0112
- Fax
- (740) 681-1926
- NPI assigned
- Dec 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | PT.001718 | OH | Primary |
Addresses
Primary practice location
5705 Lithopolis Rd NW
Lancaster, OH 43130-9515
Mailing address
5705 Lithopolis Rd NW
Lancaster, OH 43130-9515
Phone (740) 654-0112
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 |
|---|---|---|---|
| PT.001718 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228953600000",
"number": "1336384841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5705 LITHOPOLIS RD NW",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431309515",
"telephone_number": "740-654-0112",
"fax_number": "740-681-1926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5705 LITHOPOLIS RD NW",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431309515",
"telephone_number": "740-654-0112",
"fax_number": "740-681-1926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLEY",
"first_name": "JUDITH",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-11",
"last_updated": "2008-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT.001718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.