Individual provider Active NPI

Cole William Smith

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1003681065
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
16950 N 51St Ave Ste 3
Glendale, AZ 85306-1323
Phone
(623) 233-2485
NPI assigned
Nov 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

16950 N 51St Ave Ste 3
Glendale, AZ 85306-1323

Mailing address

920 E Devonshire Ave Unit 4004
Phoenix, AZ 85014-4607
Phone (949) 285-5904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Sport Rehab Specialists at Anthem, LLC Physical Therapist CurrentSince Dec 4, 2023 Accepting new patients

Locations

16950 N 51st Ave
Ste 3
Glendale, AZ 85306
Phone (623) 219-4242

9784 W Yearling Rd
Bldg B
Peoria, AZ 85383
Phone (623) 412-2117

41125 N Daisy Mountain Dr
Ste 125
Phoenix, AZ 85086
Phone (480) 265-2132

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1003681065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E DEVONSHIRE AVE UNIT 4004",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144607",
            "telephone_number": "949-285-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16950 N 51ST AVE STE 3",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061323",
            "telephone_number": "623-233-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COLE",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.