Edith G Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

218PT Issued in MT

Practice address

1805 Bancroft St
Missoula, MT 59801-5781

Phone

(406) 543-4890

Fax

(406) 543-4892

NPI assigned

Apr 19, 2006

Last updated

Dec 21, 2007By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Missoula Physical Therapy Inc

  • Physical Therapist
  • Missoula, MT
  • NPI 1992849525
  Authorized official Same address or phone

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1437114832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 BANCROFT ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015781",
            "telephone_number": "406-543-4890",
            "fax_number": "406-543-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 BANCROFT ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015781",
            "telephone_number": "406-543-4890",
            "fax_number": "406-543-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EDITH",
        "middle_name": "G",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "218PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0347072",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Smith, RN
• Brianna Michelle Smith, OTD, OTR/L
• Cherith Smith, PHARMD
• Christopher B Smith, MD
• Derek Gene Smith Jr., LMT
• Emily Beatrice Smith, MS, RD, LN
• George J. Walker Smith, LCPC MHP
• Gregory Allen Smith, M.D.
• Jeannine G Smith, DC
• Jennifer Kate Smith, LCSW, LAC

• Physical Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.