Russell Gene Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

925 Issued in SC

Practice address

100 Healthy Way # 1110
Anderson, SC 29621-2067

Phone

(864) 261-3099

Fax

(864) 261-6617

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841377553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 SMITHFIELD DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213645",
            "telephone_number": "864-617-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY # 1110",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212067",
            "telephone_number": "864-261-3099",
            "fax_number": "864-261-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RUSSELL",
        "middle_name": "GENE",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian L Smith
• Matthew Smith, DO
• Mellonee Dixon Smith, MSP, CCC-SLP
• Morgan Smith
• Robin Smith, OTR/L
• Sherri Smith, MSN,RN
• Sheryl Smith
• Stacy Lee Smith, M.D.
• Stephanie Smith
• Stephen Brooks Smith, MD

• Physical Therapy Assistant in Anderson, SC
• Providers in Anderson, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.