Mary Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3599 Issued in NC

Practice address

209 Laura Springs Dr
Salisbury, NC 28146-7216

Phone

(704) 636-3008

NPI assigned

Mar 29, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1477014686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 LAURA SPRINGS DR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281467216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 LAURA SPRINGS DR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281467216",
            "telephone_number": "704-636-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "3599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Smith, L.P.C.
• Katelyn Marie Smith, PHYSICIAN ASSISTANT
• Keisha Smith, PSY.D.
• Kimberly Renee Smith, PHARM.D.
• Madison Smith
• Nicole Yvette Smith, PHARM D
• Rebecca Janelle Smith, DO
• Samuel Smith
• Steven Clay Smith, ANP-C
• Tammy J Smith, PHARMD

• Physical Therapy Assistant in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.