Maria Terese Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007854L Issued in PA

Practice address

419 Waterford St
Edinboro, PA 16412-5517

Phone

(814) 734-5021

Fax

(814) 734-1433

NPI assigned

Dec 14, 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

Other names 1

• Maria Terese Plaza Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1588039762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SHAWNEE ROAD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45805",
            "telephone_number": "419-999-2030",
            "fax_number": "419-991-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 WATERFORD ST",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164125517",
            "telephone_number": "814-734-5021",
            "fax_number": "814-734-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARIA",
        "middle_name": "TERESE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT007854L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "PLAZA",
            "middle_name": "TERESE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anthony Simmons, ABOC
• Sirona Therapy P.C.
• Jena M Skelton, MA, LPC
• Gail Irene Smith
• Gina Demarco Smith, OTR/L
• James Clark Spaulding, D.C.
• St. Pio Medical Services Corporation
• Sandra Lynn Stiffler, COTA/L
• John Joseph Streiff Jr., MD
• Savanna Strick, CRNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.