Courtney Lynne Smiach, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1562 Highway 24/87
Cameron, NC 28326

Phone

(910) 436-4545

Fax

(910) 497-2222

NPI assigned

Jun 1, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Rebel PT, LLC

  dba Rebel PT

  • Physical Therapy Clinic/Center
  • Fuquay Varina, NC
  • NPI 1144949561
  NPD Authorized official
• Breakthrough Physical Therapy

  • Physical Therapist
  • Morehead City, NC
  • NPI 1083937692
  NPD (past)

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1891287215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 HIGH HOUSE RD STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133510",
            "telephone_number": "919-388-0111",
            "fax_number": "919-388-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 HIGHWAY 24/87",
            "city": "CAMERON",
            "state": "NC",
            "postal_code": "28326",
            "telephone_number": "910-436-4545",
            "fax_number": "910-497-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 Warrendale Village Dr",
            "address_purpose": "LOCATION",
            "city": "Warrendale",
            "state": "PA",
            "postal_code": "150866521",
            "country_code": "US",
            "telephone_number": "724-719-2326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMIACH",
        "first_name": "COURTNEY",
        "middle_name": "LYNNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamia Scott
• Maria Serrano
• Sierra's Residential Services, Inc.
• Everickia Silver-Moore
• Lucas R Paggiaro Simoes, DPT
• Christine Smith
• De'Amber Brooks Smith
• Erin Kelly Smith, FNP-C
• Kadeijah Smith
• Daniel Glen Speed Jr., PT, DPT

• Physical Therapist in Cameron, NC
• Providers in Cameron, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.