Individual provider Active NPI

Christopher Lee Smith, PT

  • Physical Therapist
  • Tiffin, OH
National Provider Identifier
1932256567
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT04531 Issued in OH
Practice address
676 Miami St
Tiffin, OH 44883-1934
Phone
(419) 448-5533
Fax
(419) 448-5559
NPI assigned
Jan 4, 2007
Last updated
Mar 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT04531 OH Primary

Addresses

Primary practice location

676 Miami St
Tiffin, OH 44883-1934

Mailing address

455 W 4TH St
Ste 10
Fostoria, OH 44830-1864
Phone (419) 448-5533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121110000004 OH Practitioner - Physical Therapist in Private Practice 9032212360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fostoria Hospital AssociationGroup PAC ID 9638087851, 9 clinicians

Practice addresses (Care Compare)

455 W 4TH St
Suite 010
Fostoria, OH 44830-1849
Phone (419) 436-8320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT04531OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fostoria Hospital Association Physical Therapist CurrentSince Feb 16, 2015 Accepting new patients
Fabrehab Services, LLC Past Accepting new patients
Physical Therapy Specialist Clinic, Inc. Physical Therapist PastSince Aug 1, 2004 Accepting new patients
Advanced Health Physical Therapist Past Accepting new patients

Locations

455 W 4th St
Ste 10
Fostoria, OH 44830
Phone (419) 436-8320

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1932256567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 W 4TH ST",
            "address_2": "STE 10",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "448301864",
            "telephone_number": "419-448-5533",
            "fax_number": "419-448-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 MIAMI ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831934",
            "telephone_number": "419-448-5533",
            "fax_number": "419-448-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT04531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.