PHONSO SMITH (NPI# 1366824864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366824864 |
| Entity Type | Individual |
| Full Name | PHONSO SMITH |
| Practice Address |
1300 S Green Bay Rd Mount Pleasant WI 53406-4469 |
| Practice Telephone | 2628983930 |
| Practice Fax Number | 2628983933 |
| Mailing Telephone | 2628983930 |
| Mailing Fax Number | 2628983933 |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 13110-24 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1300 S GREEN BAY RD |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53406-4469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104286723 | Mitali A Patel | Physical Therapist | 1300 S Green Bay Rd, Suite #205, Mount Pleasant, WI 53406-4469 | 2016-02-24 |
| 1144646316 | Julie Soyka | Physical Therapist | 1300 S Green Bay Rd, #205, Mount Pleasant, WI 53406-4469 | 2014-03-12 |
| 1083981906 | Forefront Dermatology, S.c. | Dermatology | 1300 S Green Bay Rd, Suite 100, Mount Pleasant, WI 53406 | 2011-11-21 |
| 1578850699 | Badger Care LLC | General Practice | 1300 S Green Bay Rd, #205, Mount Pleasant, WI 53406-4469 | 2011-07-10 |
| 1154504017 | Platina Coy Gershtenson | Dermatology | 1300 S Green Bay Rd, Suite 100, Mount Pleasant, WI 53406-4469 | 2007-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150336 | Forrest Rogers | Physical Therapist | 900 Johnnie Dodds Blvd # 100, Mount Pleasant, SC 29464-6130 | 2020-07-06 |
| 1508485616 | Paul Babano Prin | Physical Therapist | 2100 E Remus Rd Ste B, Mount Pleasant, MI 48858-8301 | 2020-04-09 |
| 1447897004 | Mary Nilles | Physical Therapist | 10180 Washington Ave, Mount Pleasant, WI 53177-1604 | 2019-12-03 |
| 1114562618 | Movement Matters Physical Therapy, LLC | Physical Therapist | 1025 Tall Pine Rd, Mount Pleasant, SC 29464-3529 | 2019-11-08 |
| 1205479540 | Courtney S Prickett | Physical Therapist | 278 Copahee Rd, Mount Pleasant, SC 29464-2506 | 2019-10-18 |
| 1720634736 | Scott Shores | Physical Therapist | 180 Wingo Way Ste 303, Mount Pleasant, SC 29464-1812 | 2019-08-15 |
| 1356993828 | Emily Sendelbach | Physical Therapist | 100 N Main St Ste 102, Mount Pleasant, IA 52641-2192 | 2019-07-15 |
| 1972074144 | Teresa Norris Thompson | Physical Therapist | 501 S Mission St Ste A, Mount Pleasant, MI 48858-2869 | 2018-12-16 |
| 1053894378 | Stephanie Lynn Nielsen | Physical Therapist | 13203 Globe Dr Ste 111, Mount Pleasant, WI 53177-1616 | 2018-09-12 |
| 1265925002 | Dana Richards Hodges | Physical Therapist | 1476 Long Grove Dr Ste 1, Mount Pleasant, SC 29464-7571 | 2018-06-06 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53406 |
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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.