Denise F Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070014084 Issued in IL

Practice address

110 W Woodstock St
Crystal Lake, IL 60014-4239

Phone

(815) 893-9075

Fax

(844) 862-9452

NPI assigned

Oct 2, 2006

Last updated

Mar 21, 2023By 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 1

Addresses

Other names 1

• Denise Marie Fontana Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Smith Physical Therapy and Running Academy, LLCGroup PAC ID 7113203126, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smith Physical Therapy and Running Academy, LLC

  dba Smith Physical Therapy; Smith Running Academy

  • Physical Therapy Clinic/Center
  • Crystal Lake, IL
  • NPI 1396119988

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1801989819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W WOODSTOCK ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144239",
            "telephone_number": "815-893-9075",
            "fax_number": "844-862-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W WOODSTOCK ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144239",
            "telephone_number": "815-893-9075",
            "fax_number": "844-862-9452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Foundry St Fl 2",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601741530",
            "country_code": "US",
            "telephone_number": "630-797-0327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "269 Liberty Rd",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600148032",
            "country_code": "US",
            "telephone_number": "815-449-4841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DENISE",
        "middle_name": "F",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "FONTANA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lessi J Smebakken, LCSW
• Julie C Smiley, M.A.
• Smith Physical Therapy and Running Academy, LLC (Smith Physical Therapy; Smith Running Academy)
• Corey Daniel Smith
• Cynthia Susan Smith, CNP, ACNP
• Jacob Smith
• Jessica Smith
• Melissa K Smith, M. A., CCC-SLP
• Diana Smithana
• Jillian Mary Smolinski

• Physical Therapist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.