CHRISTOPHER SHANE SMITH


Address: 1400 Midtown Road, Peru, IL 61354
Phone: 8152238600

CHRISTOPHER SHANE SMITH (NPI# 1003281668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003281668
Entity Type Individual
Full Name CHRISTOPHER SHANE SMITH
Practice Address 1400 Midtown Road
Peru
IL 61354
Practice Telephone 8152238600
Practice Fax Number 8152234667
Mailing Telephone 8152238600
Mailing Fax Number 8152234667
Enumeration Date 2015-12-08
Last Update Date 2015-12-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
070.015326 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers CHRISTOPHER SMITH

NPI Name Taxonomy Address Enumeration
1679173934 Christopher Smith Orthotist 315 Jefferson St Ne, Olympia, WA 98501-1123 2020-10-27
1003421512 Christopher M Smith Technician 151 E Piedmont St, Keyser, WV 26726-3136 2020-09-11
1851918197 Christopher Smith Massage Therapist 5125 W Broad St, Columbus, OH 43228-1689 2020-07-02
1225659261 Christopher Robert Smith Student in an Organized Health Care Education/Training Program 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 2020-04-30
1972136596 Christopher Nigel Smith Registered Nurse 5880 Sw 74th Ter Apt T6a, South Miami, FL 33143-5263 2020-02-21
1376194274 Christopher Lee Roy Smith Military Health Care Provider Uss San Juan (ssn 751), Groton, CT 06349 2019-09-23
1104383835 Christopher Smith Occupational Therapy Assistant 1714 Fm 2496 W, Mt Enterprise, TX 75681-5035 2019-02-28
1881199909 Christopher Anthony Smith Student in an Organized Health Care Education/Training Program 5660 Woodgate Dr, Matteson, IL 60443 2018-03-29
1144724477 Christopher Morgan Smith Student in an Organized Health Care Education/Training Program 1542 Tulane Ave Rm 762, New Orleans, LA 70112-2865 2018-03-21
1245733484 Christopher C Smith Registered Nurse 2451 Westwood Dr, Rochester Hills, MI 48306 2018-03-14

Office Location

Street Address 1400 MIDTOWN ROAD
City PERU
State IL
Zip Code 61354

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437750247 Saida Samedova Optometrist 5255 Il-251, Peru, IL 61354 2020-11-06
1205469483 Illinois Valley Community Hospital Registered Nurse 1403 Sixth Street, Peru, IL 61354 2020-02-17
1689228322 Zhong Xue Dentist 5301 Il-251, Ste A, Peru, IL 61354 2019-07-31
1770823197 Muscle Pain Clinic Inc Chiropractor 4231 Progress Blvd Ste 4, Peru, IL 61354 2013-02-21
1306194451 Vijaya Lakshmi Bathina Dentist 5301 Route 251, Peru, IL 61354 2012-08-21
1225305634 Walgreens Point of Service 1033 Shooting Park Road, Peru, IL 61354 2011-11-30
1811293574 Charles Riva Physical Therapist 4461 N. Progress Blvd., Peru, IL 61354 2011-01-28
1932403896 Emerging Vision, Inc Eyewear Supplier (Equipment, not the service) 3940 Route 251, Peru Mall Suite F-1, Peru, IL 61354 2011-01-06
1457668170 Illinois Valley Community Hospital Nurse Practitioner 5307 Route 251, Peru, IL 61354 2010-09-01
1952634982 Quad City Prosthetic Inc Prosthetic/Orthotic Supplier 1222 Shooting Park Rd, #104, Peru, IL 61354 2009-09-09
Find all providers in zip 61354

Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841558798 Kendra Renee Herman Physical Therapist 2011 Rock St, Suite E, Peru, IL 61354-1385 2012-04-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659986891 Murtaza Aziz Physical Therapist 1431 N Western Ave Ste 140, Chicago, IL 60622-1770 2020-09-14
1902416720 Epicore Physical Therapy Physical Therapist 1660 N La Salle Dr Apt 2708, Chicago, IL 60614-6021 2020-08-06
1356968374 Genevieve Joy Owen Physical Therapist 555 Busse Hwy Unit C1, Park Ridge, IL 60068-3189 2020-06-26
1518597772 Stability Physical Therapy and Wellness, LLC Physical Therapist 5031 W Balmoral Ave, Chicago, IL 60630-1507 2020-01-16
1154972719 Antonio Marquez Physical Therapist 7425 Janes Ave Ste 200, Woodridge, IL 60517-2358 2019-09-25
1376198978 Natalie N Ruebke Physical Therapist 251 Marketplace Dr # 2, Freeburg, IL 62243-4082 2019-08-09
1902360241 Stephanie Lynne Burkhart Physical Therapist 12251 W 159th St, Homer Glen, IL 60491-7847 2019-01-30
1003388943 Scoliosis Therapy Care and More LLC Physical Therapist 4n369 Booth Tarkington St, St Charles, IL 60175-7731 2018-12-17
1912478082 Brandon Donnelly Physical Therapist 2200 Fort Jesse Rd Ste 230, Normal, IL 61761-6291 2018-12-16
1497251086 John William Herbert Physical Therapist 1316 N Route 59, Naperville, IL 60563-4286 2018-04-03
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Competitor

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City PERU
Zip Code 61354

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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