Emily Susan Smith, PT, DPT, AT, BS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT020400 Issued in OH

Practice address

6103 Red Winesap Way
Dublin, OH 43016-7829

Phone

(937) 751-2182

NPI assigned

Feb 15, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1366942435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6103 RED WINESAP WAY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6103 RED WINESAP WAY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167829",
            "telephone_number": "937-751-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EMILY",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT, AT, BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT006307",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Michael Smith, MD
• Deanna Nicole Smith, APRN-CNP
• Dionne Smith
• Dwayne Eugene Smith, PH.D.
• Emily A Smith, CNP
• Ericka Smith, ATC
• Faith Smith
• Jennifer Smith, LPTA
• Kaitlyn R Smith, PTA
• Kallie Smith

• Physical Therapist in Dublin, OH
• Providers in Dublin, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.