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Tammy Smith, PT

Physical Therapist in Brookfield, WI. Individual provider (NPI-1).

NPI number1801065263
StatusActive
Last updated in NPPESFeb 29, 2008

Details

NPI
1801065263
Entity type
Individual (NPI-1)
Name
Tammy Smith
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
Feb 29, 2008
Last updated
Feb 29, 2008

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
225100000X Physical Therapist10516WIYes

Practice location

17280 W North Ave
#104
Brookfield, WI 53045-4366

Phone 262-780-0707

Mailing address

17280 W North Ave
#104
Brookfield, WI 53045-4366

Phone 262-780-0707

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 Therapist providers in Brookfield, WI

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