Annette Smith

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

10574 Greenbelt Dr
Clive, IA 50325-6617

Phone

(515) 520-8037

NPI assigned

Aug 9, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain Laurel Physical Therapy and RehabilitationGroup PAC ID 7911356274, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mountain Laurel Physical Therapy and Rehabilitation

  • Physical Therapist
  • Clive, IA
  • NPI 1891498671
  Medicare reassignment Care Compare group NPD Authorized official
• Allergy, Asthma & Immunology Associates P.C.

  • Allergy & Immunology Physician
  • Omaha, NE
  • NPI 1063471860
  NPD (past)
• Ear Nose and Throat Consultants LLC

  • Otolaryngology Physician
  • Omaha, NE
  • NPI 1578972659
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1003461690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10574 GREENBELT DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503256617",
            "telephone_number": "515-473-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10574 GREENBELT DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503256617",
            "telephone_number": "515-520-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA LICENSE",
            "identifier": "097288",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryhanna Elizabeth Singleton, BCBA
• Ashley Kate Sinnorai, PHARMD
• SKT Enterprises, Inc
• Rebecca Robinett Sloan, MSW, LISW
• Jeffrey Ryan Smit, M.D.
• Jolene M Smith, DO
• Katherina Smith, DPT
• Kevin Smith, PT
• McKenzie Smith, PMHNP-C
• Terry L Smith, LMHC

• Physical Therapist in Clive, IA
• Providers in Clive, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.