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Spencer W Smith, PTA

Physical Therapy Assistant in Wausau, WI. Individual provider (NPI-1).

NPI number1659929826
StatusActive
Last updated in NPPESAug 29, 2019

Details

NPI
1659929826
Entity type
Individual (NPI-1)
Name
Spencer W Smith
Credential
PTA
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 29, 2019
Last updated
Aug 29, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2957WIYes

Practice location

2400 Marshall St
Wausau, WI 54403-6738

Phone 715-848-4300

Mailing address

1508 Jelinek Ave Apt 3
Schofield, WI 54476-3525

Phone 920-323-1163

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Therapy Assistant providers in Wausau, WI

All 28 Physical Therapy Assistant providers in Wausau · All 2,366 providers in Wausau

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