Amy Theresa Smyser, PTA

Key facts

NPI

1811262835

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapy Assistant 225200000X

License

TE1000136 (PA)

Practice address

1612 East Canal Road
Dover, PA 17315

Phone

(717) 845-2661

NPI assigned

Mar 9, 2012

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 9, 2012.

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1811262835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 E CANAL RD",
            "city": "DOVER",
            "state": "PA",
            "postal_code": "173153604",
            "telephone_number": "717-845-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 EAST CANAL ROAD",
            "city": "DOVER",
            "state": "PA",
            "postal_code": "17315",
            "telephone_number": "717-845-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYSER",
        "first_name": "AMY",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE1000136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Dover, PA · Physical Therapy Assistant in Pennsylvania