Individual provider Active NPI

Katy Smith

  • Physical Therapy Assistant
  • Mount Vernon, OH
National Provider Identifier
1699193557
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
OH 5498 Issued in OH
Practice address
112 Harcourt Rd
Suite 1
Mount Vernon, OH 43050-3946
Phone
(740) 392-8811
Fax
(740) 392-6485
NPI assigned
Mar 28, 2014
Last updated
Mar 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X OH 5498 OH Primary

Addresses

Primary practice location

112 Harcourt Rd
Suite 1
Mount Vernon, OH 43050-3946

Mailing address

351 S Lane St
Bucyrus, OH 44820-2319
Phone (419) 562-6686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OH 5498OHMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1699193557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 S LANE ST",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202319",
            "telephone_number": "419-562-6686",
            "fax_number": "419-562-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HARCOURT RD",
            "address_2": "SUITE 1",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503946",
            "telephone_number": "740-392-8811",
            "fax_number": "740-392-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "OH 5498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.