Jeremy Jacob Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305006700 Issued in VA

Practice address

32 Windward Dr
Suite 110
Fishersville, VA 22939-2174

Phone

(540) 949-5383

Fax

(540) 949-5493

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

No

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.

• Horizons Therapy Inc

  • Physical Therapy Clinic/Center
  • Waynesboro, VA
  • NPI 1366744294
  NPD
• PT Plus at Old Trail, LLC

  • Physical Therapist
  • Crozet, VA
  • NPI 1588005250
  NPD (past)
• PT Plus Management, LLC

  • Physical Therapist
  • Crozet, VA
  • NPI 1033483342
  NPD (past)
• PT Plus of Afton, LLC

  • Physical Therapy Clinic/Center
  • Afton, VA
  • NPI 1083085641

  Physical Therapist

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2010.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1689770448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WINDWARD DR",
            "address_2": "SUITE 110",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392174",
            "telephone_number": "540-949-5383",
            "fax_number": "540-949-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WINDWARD DR",
            "address_2": "SUITE 110",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392174",
            "telephone_number": "540-949-5383",
            "fax_number": "540-949-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEREMY",
        "middle_name": "JACOB",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305006700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "190047",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia L Sitter, O.T.
• Paris Dominique Slagle, MD
• Gavin T Slitt, MD
• David Darnell Smith, O.D.
• Diana A Smith, MD
• Katherine Smith, PA
• Mayumi B Smitka, PA-C
• Anastasia Snelling, D.O.
• Russel G Snodgrass
• Shelley L Snodgrass, MD

• All providers in Fishersville, VA
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.