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).
| 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 |
| 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 |
| 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 |
| Street Address |
1400 MIDTOWN ROAD |
| City | PERU |
| State | IL |
| Zip Code | 61354 |
| 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 Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841558798 | Kendra Renee Herman | Physical Therapist | 2011 Rock St, Suite E, Peru, IL 61354-1385 | 2012-04-29 |
| 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 |
| 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.