Michelle Smock, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

08956 Issued in OR

Practice address

12530 SE Oatfield Rd
#2
Milwaukie, OR 97222-6963

Phone

(503) 860-6064

NPI assigned

Dec 1, 2015

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": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1508231622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12530 SE OATFIELD RD",
            "address_2": "#2",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226963",
            "telephone_number": "503-860-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12530 SE OATFIELD RD",
            "address_2": "#2",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226963",
            "telephone_number": "503-860-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOCK",
        "first_name": "MICHELLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "08956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Anne Smith
• Tammy Leona Smith, PHYSICAL THERAPIST A
• Tsehay M Smith
• Yvonne Marie Smith, LCSW
• Cliff Smithers, QMHA, CPSS
• Braydon James Snoddy
• Jerrold L Snow, DO
• Sterling Snowden
• Gregory Snyder, CRNA
• Michael Duane Snyder

• Physical Therapy Assistant in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.