Jodi R. Smith, PTA

Physical Therapy Assistant · Pana, IL

Individual Active NPI

NPI number 1053986661

Practice location

101 E 9TH St
Pana, IL 62557-1716
Phone
(217) 562-6328

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NPI record

NPI
1053986661
Entity type
Individual (Type 1)
Enumeration date
May 25, 2021
Last updated
May 25, 2021
Certified
May 21, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 160.004795 IL

Mailing address

364 N 300 East Rd
Oconee, IL 62553-4119

About Jodi Smith

Jodi R. Smith, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 101 E 9TH St, Pana, IL 62557-1716. The NPI number 1053986661 was assigned on May 25, 2021 and the record was last updated on May 25, 2021.

Jodi Smith lists a license in the registry: #160.004795 (IL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jodi R. Smith, PTA?

The NPI number is 1053986661.

What is the phone number of Jodi Smith?

The phone number listed for the practice location is (217) 562-6328.

Where is Jodi Smith located?

101 E 9TH St, Pana, IL 62557-1716.

What is the taxonomy code for Jodi Smith?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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