Brendan Smith

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-10683 Issued in OH

Practice address

2865 N Reynolds Rd Ste 110
Toledo, OH 43615-2069

Phone

(419) 578-7530

Fax

(419) 539-0288

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reynolds Road Fitness Center Inc.

  • Specialist
  • Toledo, OH
  • NPI 1780629873
  NPD (past)
• The Toledo Hospital

  • Community/Retail Pharmacy
  • Toledo, OH
  • NPI 1740217678
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609911486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 BROWN LN",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435604501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 N REYNOLDS RD STE 110",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436152069",
            "telephone_number": "419-578-7530",
            "fax_number": "419-539-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRENDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-10683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000351928",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi R Smith, APRN, PMHNP-BC
• Brandin Smith
• Brandon Smith, QBHS
• Brandon Scott Smith, CDCA
• Brandy Nichole Smith, LPN
• Briana J Smith, STNA
• Caitlyn Marie Smith, MS
• Caleb Smith
• Carnel Lorenzo Smith II
• Caterra Lyne Smith

• All providers in Toledo, OH
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.