Healthcare Provider Details

I. General information

NPI: 1952218331
Provider Name (Legal Business Name): TAPANGA N SMITH PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 PROFESSIONAL PARK DR
CONWAY SC
29526-9261
US

IV. Provider business mailing address

1469 EDITH ST
LOUISVILLE OH
44641-2637
US

V. Phone/Fax

Practice location:
  • Phone: 843-353-3460
  • Fax:
Mailing address:
  • Phone: 330-802-4511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT022560
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: