Active NPIIndividual providerSole proprietor

Ms. Elena M Smith, PTA

Physical Therapy Assistant in Bloomfield, New Jersey

NPI Number1750657367
Practice location
250 Bloomfield Ave, Bloomfield, NJ 07003-5689
Fax
—
Last updated
March 28, 2012

Elena M Smith is a Physical Therapy Assistant based in Bloomfield, NJ. Elena M Smith practices in Bloomfield, NJ and has the professional credentials of PTA. The NPI Number for Elena M Smith is 1750657367 and holds a License No. 40QB00262100 (NJ). The current practice location address for Elena M Smith is 250 Bloomfield Ave, Bloomfield, NJ 07003-5689 and can be reached out via phone at 973-743-2461.

Provider Profile Details

NPI Number
1750657367
Provider Name
Elena M Smith
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
250 Bloomfield Ave, Bloomfield, NJ 07003-5689
Phone Number
973-743-2461
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
March 28, 2012
Last Update Date
March 28, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
250 Bloomfield Ave
Bloomfield, NJ 07003-5689
Zip
07003-5689
Phone Number
973-743-2461
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
10 Wells CT
Bloomfield, NJ 07003-3042
City
Bloomfield
State
NJ
Zip
07003-3042
Phone Number
973-338-0623

License Information

License Number
40QB00262100
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Elena M Smith, PTA?

The NPI number of Ms. Elena M Smith, PTA is 1750657367. It was assigned on March 28, 2012 and is currently active in the NPPES registry.

What is the specialty of Ms. Elena M Smith, PTA?

Ms. Elena M Smith, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00262100.

Where does Ms. Elena M Smith, PTA practice?

The practice location is 250 Bloomfield Ave, Bloomfield, NJ 07003-5689. The office can be reached at 973-743-2461 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750657367 directly on the NPPES registry website.

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