| Braden Smith, DPT | |
| 
					7819 Waynetowne Blvd, Huber Heights, OH 45424-2063  | |
| (937) 938-6723 | |
| (937) 938-1583 | 
| Full Name | Braden Smith | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist | 
| Location | 7819 Waynetowne Blvd, Huber Heights, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1841068558 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | PT020801 (Ohio) | Primary | 
| Provider Name | Beacon Orthopaedics & Sports Medicine Ltd | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1386670065 PECOS PAC ID: 0345136412 Enrollment ID: O20040225000690  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Braden Smith, DPT 6480 Harrison Ave Ste 201, Cincinnati, OH 45247-7961 Ph: (513) 818-0043  | Braden Smith, DPT 7819 Waynetowne Blvd, Huber Heights, OH 45424-2063 Ph: (937) 938-6723  | 
Kimberly Jean Ritter, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8701 Old Troy Pike, Suite 220, Huber Heights, OH 45424 Phone: 937-558-3327  | |
Elise L Hickernell, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8701 Troy Pike Ste 220, Huber Heights, OH 45424 Phone: 937-558-3338 Fax: 937-558-3327  | |
Daryl Fajardo,  Physical Therapist Medicare: Medicare Enrolled Practice Location: 7819 Waynetowne Blvd, Huber Heights, OH 45424 Phone: 937-938-1583  | |
John Paul Boyko,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6200 Bellefontaine Rd, Huber Heights, OH 45424 Phone: 937-204-3095  | |
Peter King, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8412 Old Troy Pike, Huber Heights, OH 45424 Phone: 937-235-0068  | |
Christine Cox, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8895 Emeraldgate Dr, Huber Heights, OH 45424 Phone: 937-237-6375  | |
Erica Campbell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8412 Old Troy Pike, Huber Heights, OH 45424 Phone: 937-235-0068  |