BERYL ANN SMITH (NPI# 1558332122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558332122 |
| Entity Type | Individual |
| Full Name | BERYL ANN SMITH |
| Credential | P.T. |
| Practice Address |
1 Childrens Plaza Orthopaedic Center for Spinal & Pediatric Care Dayton OH 45404-1815 |
| Mailing Address |
2031 Vienna Pkwy Dayton OH 45459-1356 |
| Practice Telephone | 9376413010 |
| Practice Fax Number | 9376415003 |
| Mailing Telephone | 9374391868 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2009-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 2896324 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | PT-10782 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
2896324 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT-10782 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
2896324 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT-10782 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2487492 | 05 | |
| OH | BCMH | 2487492 | 01 |
| OH | ANTHEM BCBS | 00000330619 | 01 |
| Street Address |
1 CHILDRENS PLAZA ORTHOPAEDIC CENTER FOR SPINAL & PEDIATRIC CARE |
| City | DAYTON |
| State | OH |
| Zip Code | 45404-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205360831 | Chiara Foster | Student in an Organized Health Care Education/Training Program | 1 Childrens Plaza, Dayton, OH 45404 | 2017-04-20 |
| 1235526534 | Bonnie Katherine Buckles | Pediatrics | 1 Childrens Plaza, Dayton, OH 45404 | 2015-04-24 |
| 1598719957 | Bernard Laya | Radiology | 1 Childrens Plaza, Dayton, OH 45404 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134587108 | Addison Home Health Services LLC | Nursing Care | 1819 Troy St Ste 3, Dayton, OH 45404 | 2016-02-05 |
| 1437593951 | Ronna Sue Tilley | Licensed Practical Nurse | 550 Dawes Avenue, Dayton, OH 45404 | 2013-04-26 |
| 1932397544 | Children's Anesthesia Group Inc | Anesthesiology | 1 Children's Plz, Dayton, OH 45404 | 2007-10-09 |
| 1922135292 | Donald J Elsbernd Dds Inc | Dentist | 825 Troy St, Dayton, OH 45404 | 2007-02-27 |
| 1124172036 | Mary Ann Wallace | Home Delivered Meals | 900 Troy Street, Dayton, OH 45404 | 2007-01-22 |
| 1225094287 | Ann E Burke | Pediatrics | One Childrens Plaza, Dayton, OH 45404 | 2006-04-26 |
| 1508838244 | Virginia G Matheson | Psychiatry & Neurology | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2006-02-06 |
| 1124021324 | Dayton Children's Orthopaedic Center for Spinal & Pediatric Care, LLC | Specialist | 1 Childrens Plz, Dayton, OH 45404 | 2005-05-23 |
| 1952921710 | Daniel Oder | Student in an Organized Health Care Education/Training Program | 1 Children's Plaza, Dayton Children's Hospital, Cheri Russell, Dayton, OH 45404 | 2020-04-22 |
| 1356802276 | Alec Kelley | Student in an Organized Health Care Education/Training Program | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2019-03-26 |
| Find all providers in zip 45404 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376717926 | Richard Charles Hauser | Physical Therapist | 301 W 1st St Ste 101, Dayton, OH 45402-3033 | 2008-04-15 |
| 1548822166 | Epoch Physical Therapy | Physical Therapist | 2245 Route 130, Dayton, NJ 08810-0881 | 2019-07-03 |
| 1013238062 | Camille Rae Bowshier | Physical Therapist | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2010-06-14 |
| 1316184294 | Joaquin Barrios | Physical Therapist | 1222 S Patterson Blvd, Suite 110, Dayton, OH 45402-2684 | 2009-01-14 |
| 1184877276 | Andrea R Kinsinger | Physical Therapist | 7637 N Main St, Dayton, OH 45415-2549 | 2008-11-03 |
| 1144428525 | Mary Insana Fisher | Physical Therapist | 1 Wyoming St, Dayton, OH 45409-2722 | 2007-07-06 |
| 1225244593 | Hannah Arbogast | Physical Therapist | 1 Wyoming St, Dayton, OH 45409-2722 | 2007-05-15 |
| 1538187737 | William Cannarozzi | Physical Therapist | 3205 Woodman Dr, Dayton, OH 45420-1143 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740892124 | Absolute Kinetics Physical Therapy, LLC | Physical Therapist | 2128 Madison Rd, Cincinnati, OH 45208-3287 | 2020-08-18 |
| 1962011460 | Kaitlin Marie Bronikowski | Physical Therapist | 925 N State St Ste G, Westerville, OH 43082-8023 | 2020-07-30 |
| 1144857145 | Tyler James Hewett | Physical Therapist | 7010 Engle Rd Ste 105, Middleburg Heights, OH 44130-8401 | 2020-03-27 |
| 1205463486 | Michael Russo | Physical Therapist | 29800 Bainbridge Rd # So40, Solon, OH 44139-2202 | 2020-03-26 |
| 1477184646 | Competitive Edge Physical Therapy and Performance | Physical Therapist | 5754 Thorton St Apt 103, Westerville, OH 43081-7196 | 2020-01-28 |
| 1902362692 | Onsite Pt LLC | Physical Therapist | 576 Industrial Pkwy, Chagrin Falls, OH 44022-4413 | 2019-02-18 |
| 1356805543 | Shawn R Notarione | Physical Therapist | 50 Baker Blvd Ste O, Fairlawn, OH 44333-3674 | 2019-01-22 |
| 1780156810 | Matthew Adam Longfellow | Physical Therapist | 1195 Chesapeake Ave, Columbus, OH 43212-2238 | 2018-12-31 |
| 1992276422 | Carolyn Sue Rauh | Physical Therapist | 150 Schwieterman St, Minster, OH 45865-8729 | 2018-12-10 |
| 1629547708 | Maureen Bauman | Physical Therapist | 5 Severance Cir Ste 115, Cleveland Heights, OH 44118-1513 | 2018-11-18 |
| Find all providers with the same taxonomy | ||||
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| 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.