Philip J Smythe, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

L1579455 Issued in MI

Practice address

21710 Peepsock Cir
Houghton, MI 49931-1050

Phone

(906) 482-6994

Fax

(906) 482-6994

NPI assigned

Nov 25, 2009

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

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.

• Copper Country Physical Therapy

  • Physical Therapist
  • Houghton, MI
  • NPI 1346518230
  NPD (past) Authorized official

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1861720120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21710 PEEPSOCK CIR",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311050",
            "telephone_number": "906-482-6994",
            "fax_number": "906-482-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21710 PEEPSOCK CIR",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311050",
            "telephone_number": "906-482-6994",
            "fax_number": "906-482-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYTHE",
        "first_name": "PHILIP",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-25",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "L1579455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smith Holistic Care, LLC
• Heather Smith, FNP
• Jamie Lynn Smith, L.AC., NBC-HWC, LMT
• Michelle Lee Smith, LBSW
• Raymond A Smith, COTA, SWT, CADC-M
• Matthew J. Solka, DPT
• Maegan Lane Standley, LMSW
• Kati Lynn Stilwell, AUD
• Susan Jane Stratton
• Kristy Strom

• Physical Therapist in Houghton, MI
• Providers in Houghton, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.