Individual ProviderMary Margaret SmithPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4530 E Muirwood Dr Ste 110, Phoenix, AZ 85048(480) 759-5808(602) 406-3008PECOS EnrollmentBased on the most recent information from CMS, provider Mary Margaret Smith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1619021896Provider TypeIndividualFull NameSmith, Mary MargaretCredentialPTGenderFemaleSole ProprietorNoEnumeration Date1/23/2007Last Updated8/30/2018Contact InformationPractice LocationPractice Address4530 E Muirwood Dr Ste 110, Phoenix, AZ 85048Phone(480) 759-5808Fax(480) 759-0647Mailing LocationMailing Address2910 N 3rd Ave, Phoenix, AZ 85013-4434Phone(602) 406-3008Fax(602) 406-6108Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseLPT-007137ArizonaProvider IdentifiersIDDescriptionIssuerID068163DescriptionOtherIssuerAHCCCS ID NOArizona