Provider Demographics
NPI:1871538371
Name:SMITH REHABILITATION CONSULTANTS, INC.
Entity type:Organization
Organization Name:SMITH REHABILITATION CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, RPH
Authorized Official - Phone:317-698-3375
Mailing Address - Street 1:8470 HILLTOP LN
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46151-7623
Mailing Address - Country:US
Mailing Address - Phone:317-698-3375
Mailing Address - Fax:317-831-5907
Practice Address - Street 1:8470 HILLTOP LN
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46151-7623
Practice Address - Country:US
Practice Address - Phone:317-698-3375
Practice Address - Fax:317-831-5907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39000218A101YM0800X
IN26013661A183500000X, 1835P1200X, 1835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapyGroup - Multi-Specialty
Not Answered1835P1300XPharmacy Service ProvidersPharmacistPsychiatricGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
87726OtherUNITED HEALTHCARE
A837774OtherVALUEOPTIONS
IN176602OtherAPS HEALTHCARE
INIP 561310OtherMAGELLAN