Rachel L Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-020255 Issued in PA

Practice address

580 Reed Rd
Sute 3
Broomall, PA 19008-3655

Phone

(610) 356-6211

Fax

(610) 356-1429

NPI assigned

Oct 23, 2009

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 names 1

• Rachel L Gennaro Former name

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": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1487980595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S PARKWAY",
            "address_2": "APT 301F",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083651",
            "telephone_number": "856-982-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 REED RD",
            "address_2": "SUTE 3",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083655",
            "telephone_number": "610-356-6211",
            "fax_number": "610-356-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RACHEL",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-020255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "GENNARO",
            "middle_name": "L",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jillian Small, COTA/L
• Nicole Smargiassi
• Drayton Longsteth Smith, D.M.D.
• Lisa Marie Smith, CRNP
• Nicole Smith
• Seiana Lynette Smith, BEHAVIOR TECHNICIAN
• Tajanae Smith
• Marielle Elizabeth Smoller, MS, RD
• Maria Soda, PSY.D
• Kathryn Jean Soeder, LPC

• Physical Therapist in Broomall, PA
• Providers in Broomall, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.