SCOTT SMOLDER (NPI# 1003462250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003462250 |
| Entity Type | Individual |
| Full Name | SCOTT SMOLDER |
| Practice Address |
400 Tracy Way Ste 100 Charleston WV 25311-1280 |
| Mailing Address |
617 Crystal Springs Dr Winfield WV 25213-8616 |
| Practice Telephone | 3047200205 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
002422 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
400 TRACY WAY STE 100 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25311-1280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710143375 | Mountaineer Homecare, LLC | Home Health | 400 Tracy Way Ste 100, Charleston, WV 25311-1280 | 2008-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225476 | Darlene Lacy-carter | Technician | 1406 Milton Street, Charleston, WV 25311 | 2020-11-04 |
| 1942810452 | Joshua Reese | Technician | 1248 Valley Grove Rd, Charleston, WV 25311 | 2020-08-10 |
| 1538710785 | Pamela White | Technician | 542 Harmony Hollow Road, Charleston, WV 25311 | 2019-09-27 |
| 1780104083 | The Stairlift People, Inc | Public Health or Welfare | 2510 Kanawha Blvd East, Charleston, WV 25311 | 2017-06-27 |
| 1902271505 | Mary Workman | Registered Nurse | 1520 Wahington Street East, Charleston, WV 25311 | 2015-12-08 |
| 1871966564 | Ashley Nicole Lester | Occupational Therapy Assistant | 1000 Association Dr., Charleston, WV 25311 | 2015-11-04 |
| 1548671530 | Holly Markins | Social Worker | 300 Tracy Way, Charleston, WV 25311 | 2014-05-13 |
| 1124453964 | West Virginia Health Right, Inc. | Clinic/Center | 1520 Washington St. E., Charleston, WV 25311 | 2013-09-12 |
| 1457678005 | Sarah Lyn Tussey | Occupational Therapy Assistant | 1 Supthin Dr, Charleston, WV 25311 | 2010-04-22 |
| 1639344708 | Daymark Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1592 Washington Street East, Suite 2, Charleston, WV 25311 | 2008-04-29 |
| Find all providers in zip 25311 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043383409 | Velva H Woollen Hilke | Physical Therapist | 422 Priestly St, Charleston, SC 29412-2719 | 2006-11-15 |
| 1083028823 | Kevin Huff | Physical Therapist | 1730 Savannah Hwy, Charleston, SC 29407-6255 | 2014-06-19 |
| 1003004367 | Bruce Alan Reeves | Physical Therapist | 169 Ashley Ave, Room, 3sw Wing, Charleston, SC 29425-8905 | 2007-10-11 |
| 1003002940 | Sarah Amy Fox Maurer | Physical Therapist | 650 Ellis Oak Dr, Charleston, SC 29412-3090 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609252634 | Nathan Robert Tomasik | Physical Therapist | 746 Fairmont Road, Westover, WV 26501 | 2015-07-31 |
| 1609930379 | Generations R.c., Inc | Physical Therapist | 3552 Us Route 60 E, Barboursville, WV 25504-1639 | 2006-12-20 |
| 1659435386 | Duane S Davis | Physical Therapist | 1206 Health Science Center South, Morgantown, WV 26506 | 2006-12-20 |
| 1760545446 | Eric J Tarr | Physical Therapist | 3552 Route 60 East, Barboursville, WV 25504 | 2006-12-18 |
| 1083776769 | Generations R.c., Inc. | Physical Therapist | 3705 Teays Valley Road, Suite 100, Hurricane, WV 25526 | 2006-12-15 |
| 1124401963 | Gabriel Wilson | Physical Therapist | 719 Fairmont Ave, Suite 102, Fairmont, WV 26554-5118 | 2015-06-29 |
| 1184901043 | Tadeusz Laska | Physical Therapist | 20 Homestead Ave, Wheeling, WV 26003-6638 | 2011-11-07 |
| 1013293950 | Rickard Dustin Jones | Physical Therapist | 772 Foxcroft Ave, Martinsburg, WV 25401-1838 | 2011-10-24 |
| 1174717607 | Heidi Emma Marchal | Physical Therapist | 1426 6th Ave, Huntington, WV 25701-2499 | 2007-08-28 |
| City | CHARLESTON |
| Zip Code | 25311 |
Please comment or provide details below to improve the information on SCOTT SMOLDER.
| 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.