NPIMap

Organization Active NPI

Smith & Prothero Physical Therapy LLC

  • Occupational Therapist
  • Havre de Grace, MD
National Provider Identifier
1942844832
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
SMITH & PROTHERO PHYSICAL THERAPY LLC
Practice address
807A S Union Ave
Havre de Grace, MD 21078-3610
Phone
(410) 939-2262
Fax
(410) 939-7119
NPI assigned
Nov 4, 2019
Last updated
Oct 9, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SMITH & PROTHERO PHYSICAL THERAPY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Authorized official

Name
Stephanie White
Title
Office Assistant, Credentialing
Phone
(410) 939-2262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

807A S Union Ave
Havre de Grace, MD 21078-3610

Mailing address

807A S Union Ave
Havre de Grace, MD 21078-3610
Phone (410) 939-2262

Other practice location 1

1131 Baltimore Pike
Bel Air, MD 21014-5132
Phone (410) 838-6070

Other names 1

  • Smith & Prothero Physical & Occupational Therapy Other name

National Provider Directory

National Provider Directory
Tax ID family
Smith Prothero Physic2 organizations share this tax ID, including this one
Part of
Smith Prothero Physic

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

807 S Union Ave
#A
Havre de Grace, MD 21078
Phone (410) 939-2262

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1942844832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807A S UNION AVE",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783610",
            "telephone_number": "410-939-2262",
            "fax_number": "410-939-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807A S UNION AVE",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783610",
            "telephone_number": "410-939-2262",
            "fax_number": "410-939-7119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1131 Baltimore Pike",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210145132",
            "country_code": "US",
            "telephone_number": "410-838-6070",
            "fax_number": "410-838-6961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMITH & PROTHERO PHYSICAL THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SMITH & PROTHERO PHYSICAL THERAPY LLC",
        "enumeration_date": "2019-11-04",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OFFICE ASSISTANT, CREDENTIALING",
        "authorized_official_telephone_number": "410-939-2262"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith & Prothero Physical & Occupational Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Havre de Grace, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.