Provider Demographics
NPI:1134162373
Name:SMITH, AARON MATTHEW (DPT)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:MATTHEW
Last Name:SMITH
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6912 NARRIS RD
Mailing Address - Street 2:
Mailing Address - City:NEW TRIPOLI
Mailing Address - State:PA
Mailing Address - Zip Code:18066-2425
Mailing Address - Country:US
Mailing Address - Phone:610-554-7476
Mailing Address - Fax:610-767-8487
Practice Address - Street 1:6299 ROUTE 309
Practice Address - Street 2:
Practice Address - City:NEW TRIPOLI
Practice Address - State:PA
Practice Address - Zip Code:18066-2049
Practice Address - Country:US
Practice Address - Phone:610-767-8480
Practice Address - Fax:610-767-8487
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT016365225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA077347TQ8Medicare PIN