Provider Demographics
NPI:1609805498
Name:SMITH THERAPY SERVICES
Entity Type:Organization
Organization Name:SMITH THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:E
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:JR
Authorized Official - Credentials:PT
Authorized Official - Phone:864-286-8288
Mailing Address - Street 1:9 MAPLE TREE CT STE A
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4071
Mailing Address - Country:US
Mailing Address - Phone:864-286-8288
Mailing Address - Fax:864-286-8289
Practice Address - Street 1:9 MAPLE TREE CT STE A
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4071
Practice Address - Country:US
Practice Address - Phone:864-286-8288
Practice Address - Fax:864-286-8289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC5808500001Medicare NSC
SC6736Medicare PIN