Individual provider Active NPI

Laurie Poseley Smith, PT

  • Physical Therapist
  • Marquette, MI
National Provider Identifier
1982809505
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501 003173 Issued in MI
Practice address
1455 W Fair Ave
Marquette, MI 49855-2654
Phone
(906) 273-0373
Fax
(906) 226-0152
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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 5501 003173 MI Primary

Addresses

Primary practice location

1455 W Fair Ave
Marquette, MI 49855-2654

Mailing address

1455 W Fair Ave
Marquette, MI 49855-2654
Phone (906) 226-0143

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070928000559 MI Practitioner - Physical Therapist in Private Practice 6103911656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marquette Rehabilitation and Sports Medicine CenterGroup PAC ID 0941351761, 13 clinicians

Practice addresses (Care Compare)

1455 W Fair Ave
Marquette, MI 49855-2654
Phone (906) 226-0574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501 003173MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marquette Rehabilitation & Sports Medicine Center Physical Therapist CurrentSince Feb 6, 2017 Accepting new patients

Locations

1455 W Fair Ave
Marquette, MI 49855
Phone (906) 226-0574

1121 W Ridge St
Marquette, MI 49855
Phone (906) 226-0574

128 N 3rd St
Marquette, MI 49855
Phone (906) 273-0757

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1982809505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 W FAIR AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552654",
            "telephone_number": "906-226-0143",
            "fax_number": "888-347-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 W FAIR AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552654",
            "telephone_number": "906-273-0373",
            "fax_number": "906-226-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAURIE",
        "middle_name": "POSELEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501 003173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.