Active NPI
Tonya Smith, PT
- Physical Therapist
- Manchester, KY
National Provider Identifier
1760853261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004379
- Practice address
- 77 Mize Branch Rd
Manchester, KY 40962-6632 - Phone
- (606) 599-7733
- NPI assigned
- Oct 12, 2015
- 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 | 004379 | KY | Primary |
Addresses
Primary practice location
77 Mize Branch Rd
Manchester, KY 40962-6632
Mailing address
77 Mize Branch Rd
Manchester, KY 40962-6632
Phone (606) 599-7733
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 |
|---|---|---|---|
| 004379 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444608000000",
"number": "1760853261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 MIZE BRANCH RD",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "409626632",
"telephone_number": "606-599-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 MIZE BRANCH RD",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "409626632",
"telephone_number": "606-599-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TONYA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-12",
"last_updated": "2015-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "004379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.