William Charles Smith, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

16911 Issued in MD

Practice address

807A S Union Ave
Havre de Grace, MD 21078-3610

Phone

(410) 939-2262

Fax

(410) 939-7119

NPI assigned

Jul 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Smith and Prothero Physical Therapy LLCGroup PAC ID 9335155860, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smith & Prothero Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Havre de Grace, MD
  • NPI 1942200621
  Medicare reassignment Care Compare group NPD Authorized official
• Smith & Prothero Physical Therapy LLC

  • Occupational Therapist
  • Havre de Grace, MD
  • NPI 1942844832
  NPD

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1396745469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807A S UNION AVE",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783610",
            "telephone_number": "410-939-2262",
            "fax_number": "410-939-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807A S UNION AVE",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783610",
            "telephone_number": "410-939-2262",
            "fax_number": "410-939-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WILLIAM",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "16911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1078020-00",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650020354",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smith & Prothero Physical Therapy LLC
• Smith & Prothero Physical Therapy LLC
• Alischa Smith, RN
• Candrea Smith, FNP-C
• Deanna Lynn Smith, P.T.
• Bernadette Louise Solounias, M.D.
• Ian Douglas Somerville, M.D.
• Jonathan W Sommerville, MD
• Sports & Spine Pain Management, LLC
• St. Bridget Care Solutions, LLC

• Orthopedic Physical Therapist in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Orthopedic Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.