Susan G Smith, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004312 Issued in CT

Practice address

35 Jolley Dr
Suite 101
Bloomfield, CT 06002-3062

Phone

(860) 243-3434

Fax

(860) 243-0208

NPI assigned

Sep 20, 2006

Last updated

Oct 1, 2009By 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

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BIJGAA

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.

• Healthpro Heritage Rehab & Fitness, LLC

  dba HeritageHealthcare, LLC

  • Physical Therapist
  • North Easton, MA
  • NPI 1922473750
  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD
• Physical Medicine & Rehabilitation of Hartford LLC

  • Multi-Specialty Clinic/Center
  • Bloomfield, CT
  • NPI 1346246931
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1447357538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JOLLEY DR",
            "address_2": "SUITE 101",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023062",
            "telephone_number": "860-243-3434",
            "fax_number": "860-243-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 JOLLEY DR",
            "address_2": "SUITE 101",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023062",
            "telephone_number": "860-243-3434",
            "fax_number": "860-243-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUSAN",
        "middle_name": "G",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "004312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neshea Sinclair
• Shivani Sinha, MD
• Richard Slater, MD
• Smiles in Bloom Bloomfield
• Katelyn T. Smiley
• Terra Smith
• Vanity Smith
• G Gordon Snyder III, MD
• Satvinder Kaur Sodhi, O.D.
• Janetta Songorov, PA-C

• Physical Therapist in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.