Lisa Smith

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

13146 Issued in MT

Practice address

Nine 14TH Ave West
Polson, MT 59860-5321

Phone

(406) 883-4378

NPI assigned

Oct 25, 2017

Last updated

Oct 25, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1679085047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "SONOITA",
            "state": "AZ",
            "postal_code": "856370727",
            "telephone_number": "307-272-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NINE 14TH AVE WEST",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598605321",
            "telephone_number": "406-883-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "11516A",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MT",
            "license": "13146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA FINGER PRINT CLEARANCE CARD",
            "identifier": "2A05978680",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David J. Sievert, D.D.S.
• Wendy Sitter, PT
• Adam T Smith, D.O.
• Joseph Smith Jr., M.D.
• Linda Jean Smith, CMT
• Terry A Smith, D.O.
• Todd James Smith
• Victoria J Smith, LMT, CST
• Deborah H. Sogge-Kermani, M.D.
• Carrie F Sorrell, LMT

• Physical Therapy Assistant in Polson, MT
• Providers in Polson, MT by specialty
• Physical Therapy Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.