Thomas Paul Smith, D. C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

2664 Issued in WI

Practice address

W177N9856 Rivercrest Dr
Suite 102
Germantown, WI 53022-4647

Phone

(262) 251-9300

Fax

(262) 251-9303

NPI assigned

Apr 14, 2006

Last updated

Oct 29, 2019By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 Chiropractic and Rehabilitation

  • Rehabilitation Chiropractor
  • Germantown, WI
  • NPI 1093859241
  NPD (past) Authorized official
• Acu-Med Integrative Medicine LLC

  dba Acupuncture & Chinese Medical Center

  • Acupuncturist
  • Waukesha, WI
  • NPI 1457781981
  NPD
• Freedom Physical Therapy Services SC

  • Physical Therapist
  • Fox Point, WI
  • NPI 1063406544
  NPD

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1881658045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 E RACINE AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531866462",
            "telephone_number": "262-832-8888",
            "fax_number": "262-806-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W177N9856 RIVERCREST DR",
            "address_2": "SUITE 102",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224647",
            "telephone_number": "262-251-9300",
            "fax_number": "262-251-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "THOMAS",
        "middle_name": "PAUL",
        "credential": "D. C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WI",
            "license": "2664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "200879361018",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00110391",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bret T Skaer
• Brittany Skogg, DPT
• David Sliwoski, MD
• Smith Chiropractic and Rehabilitation
• Thomas Joseph Smith, RPH
• Karen Ann Sonnen, LMT
• Spectrum Health Medical Clinic
• Spectrum Health Medical Clinic, LLC
• Michael John Spenner, RN
• Jill Spielmann, LPC

• Sports Physician Chiropractor in Germantown, WI
• Providers in Germantown, WI by specialty
• Sports Physician Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.