Jason Ryan Smith, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 35281 Issued in CA

Practice address

17332 Von Karman Ave
Suite 120
Irvine, CA 92614-6242

Phone

(949) 861-8600

Fax

(949) 861-8601

NPI assigned

Jan 27, 2009

Last updated

Jan 27, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Orthopaedic Surgical GroupGroup PAC ID 7911996202, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Memorial Orthopaedic Surgical Group

  • Specialist
  • Long Beach, CA
  • NPI 1255414546
  Medicare reassignment Care Compare group NPD
• Core Total Body Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Fullerton, CA
  • NPI 1134657299

  Physical Therapist

  NPD (past)
• Impt, Inc.

  dba In Motion Physical Therapy

  • Orthopedic Physical Therapist
  • Irvine, CA
  • NPI 1184670804
  NPD (past)
• Total Body Physical Therapy

  • Physical Therapist
  • Anaheim, CA
  • NPI 1700942737
  NPD (past)

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1033357165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6133 BELLFLOWER BLVD",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131063",
            "telephone_number": "562-920-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17332 VON KARMAN AVE",
            "address_2": "SUITE 120",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146242",
            "telephone_number": "949-861-8600",
            "fax_number": "949-861-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JASON",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 35281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Myron Smith, D.C.
• Briana Brittany Smith
• Christopher M Smith, PAC
• Erin Smith
• Janellen Smith, MD
• Jayce Smith
• Kia Smith
• Kristal Elise Smith, RN
• Liberty Smith
• Mary Elizabeth Smith

• Physical Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.