Individual provider Active NPI

Jennifer Ann Smith, PT

  • Physical Therapist
  • Camp Hill, PA
National Provider Identifier
1457785784
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT022810 Issued in PA
Practice address
3025 Market St
Camp Hill, PA 17011-4518
Phone
(717) 737-7903
Fax
(717) 737-3519
NPI assigned
Aug 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT022810 PA Primary

Addresses

Primary practice location

3025 Market St
Camp Hill, PA 17011-4518

Mailing address

3025 Market St
Camp Hill, PA 17011-4518
Phone (717) 737-7903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131209001523 PA Practitioner - Physical Therapist in Private Practice 7719114271 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Oct 22, 2018 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Mar 9, 2020 Accepting new patients
PHS Physical Therapy, LLC Physical Therapist CurrentSince Mar 15, 2022 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Mar 9, 2020 Accepting new patients
Pivot Physical Therapy of Pennsylvania, LLC Physical Therapist CurrentSince Feb 16, 2019 Accepting new patients
Procare Physical Therapy Inc Physical Therapist Past Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist Past Accepting new patients

Locations

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

3025 Market St
Camp Hill, PA 17011
Phone (717) 691-1212

106 S Hanover St
Hummelstown, PA 17036
Phone (717) 566-6000

470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800

1535 Highlands Dr
Ste 200
Lititz, PA 17543
Phone (717) 625-5731

790 W King St
Ste 1
Littlestown, PA 17340
Phone (717) 359-1928

6455 Carlisle Pike
Ste 2
Mechanicsburg, PA 17050
Phone (717) 802-8767

684 W Main St
Unit E
New Holland, PA 17557
Phone (717) 466-2044

655 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2142

130 W Main St
Ste 100B
Trappe, PA 19426
Phone (484) 471-6850

1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1457785784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 MARKET ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114518",
            "telephone_number": "717-737-7903",
            "fax_number": "717-737-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 MARKET ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114518",
            "telephone_number": "717-737-7903",
            "fax_number": "717-737-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.