Active NPI
Amanda Lee Smith, PT
- Physical Therapist
- Urbana, OH
National Provider Identifier
1700046554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012132
- Practice address
- 1450 E US Highway 36
Urbana, OH 43078-9112 - Phone
- (937) 653-7333
- Fax
- (937) 653-6116
- NPI assigned
- Jun 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012132 | OH | Primary |
Addresses
Primary practice location
1450 E US Highway 36
Urbana, OH 43078-9112
Mailing address
1450 East US Higheay 36
Urbana Physical Therapy Inc
Urbana, OH 43078-9112
Phone (937) 653-7333
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT012132 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Mercy Health Partners | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Springfield, OH
- NPI 1477217297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1700046554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 EAST US HIGHEAY 36",
"address_2": "URBANA PHYSICAL THERAPY INC",
"city": "URBANA",
"state": "OH",
"postal_code": "430789112",
"telephone_number": "937-653-7333",
"fax_number": "937-653-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 E US HIGHWAY 36",
"city": "URBANA",
"state": "OH",
"postal_code": "430789112",
"telephone_number": "937-653-7333",
"fax_number": "937-653-6116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "AMANDA",
"middle_name": "LEE",
"name_prefix": "Miss",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-16",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT012132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbana, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.