Aubrey Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

1080 N 35TH St
Galesburg, MI 49053-9761

Phone

(269) 665-7043

Fax

(269) 665-4080

NPI assigned

Apr 11, 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

Other names 1

• Aubrey Pratel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1609339100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 N 35TH ST",
            "city": "GALESBURG",
            "state": "MI",
            "postal_code": "490539761",
            "telephone_number": "269-665-7043",
            "fax_number": "269-665-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 N 35TH ST",
            "city": "GALESBURG",
            "state": "MI",
            "postal_code": "490539761",
            "telephone_number": "269-665-7043",
            "fax_number": "269-665-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AUBREY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUBREY",
            "last_name": "PRATEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crystal Shreves
• Nicole Sirotti, MA, BCBA, LBA
• Madisyn Wynter Slater
• Sarah Sloan
• Lindsay Smeltzer
• Kailah Smith
• Isabel Staskiewicz
• Gwen Stephan
• Kylie Strasser
• Madelyn Sullivan

• Physical Therapy Assistant in Galesburg, MI
• Providers in Galesburg, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.