Jane Edna Smetana, PTA

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

584-19 Issued in WI

Practice address

2999 N Mayfair Rd Ste 300
Wauwatosa, WI 53222-4306

Phone

(414) 479-3737

Fax

(414) 479-3733

NPI assigned

May 15, 2020

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": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1669094330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 N MAYFAIR RD STE 300",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224306",
            "telephone_number": "414-479-3737",
            "fax_number": "414-479-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 N MAYFAIR RD STE 300",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224306",
            "telephone_number": "414-479-3737",
            "fax_number": "414-479-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMETANA",
        "first_name": "JANE",
        "middle_name": "EDNA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "WI",
            "license": "584-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sleepmed Therapies
• Jessica Ann Small, RPH
• Smasal Family Chiropractic, LLC
• Sarah Ann Smasal, D.C.
• Sophia Smetana Wagner
• Charlotte Ann Smith, RPH
• Edward B Smith, M.D.
• Scott Smith, RN
• David Brian Smothers, PSY.D., L.P.
• Melissa K Smothers, PH.D.

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.