Heather Smith

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

010664 Issued in PA

Practice address

1176 Mansfield Ave
Indiana, PA 15701-4514

Phone

(724) 357-9991

Fax

(724) 357-9993

NPI assigned

Jan 25, 2016

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Optimal Heights Physical Therapy

  • Physical Therapy Clinic/Center
  • Indiana, PA
  • NPI 1619332913
  NPD Authorized official
• West Penn Physical Therapy

  • Physical Therapist
  • Latrobe, PA
  • NPI 1407830920
  NPD (past)

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1629435490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 MANSFIELD AVE",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157014514",
            "telephone_number": "724-357-9991",
            "fax_number": "724-357-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 MANSFIELD AVE",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157014514",
            "telephone_number": "724-357-9991",
            "fax_number": "724-357-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "010664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Pearl Smith, PT
• Edward J. Smith, M.A.
• Elisabeth Chaffey Smith, RD
• Floyd Macpherson Smith II, M.ED
• Gabriel Smith
• Jeffrey Alan Smith
• Kathryn S Smith, M.ED.
• Lori M Smith, LDN
• Stephanie Rachel Smith, B.A.
• Paula A. Smulik, PHARM D

• Physical Therapy Assistant in Indiana, PA
• Providers in Indiana, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.