MEDICARE: CATHERINE SMITH PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT020926	OH

General Provider Information

NPI Number	:	1245193010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE SMITH PT, DPT

Provider Business Mailing Address
First Line	:	2150 W CENTRAL AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-3834
Country	:	US
Telephone Number	:	419-291-8370
Fax Number	:	419-479-3290

Provider Business Practice Location Address
First Line	:	2150 W CENTRAL AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-3834
Country	:	US
Telephone Number	:	419-291-8370
Fax Number	:	419-479-3290

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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