Active NPI
Bradley A. Smith, MSPT,SCS,ATC
- Physical Therapist
- Noblesville, IN
National Provider Identifier
1043312911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05001715A
- Practice address
- 117 Wesley Cir
Noblesville, IN 46062-9077 - Phone
- (317) 679-2809
- Fax
- (317) 877-0320
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05001715A | IN | Primary |
Addresses
Primary practice location
117 Wesley Cir
Noblesville, IN 46062-9077
Mailing address
117 Wesley Cir
Noblesville, IN 46062-9077
Phone (317) 679-2809
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000502221 | Other | IN | ANTHEM BCBS PROVIDER NUMB |
| DB9030 | Other | GA | RAILROAD MEDICARE GROUP |
| P00479059 | Other | GA | RAILROAD PTAN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05001715A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ampt Advanced Manual Physical Therapy Specialty PT Clinics, LLC | Past | Accepting new patients | |
| K Donald Shelbourne MD LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopedic Physical Therapist
- Indianapolis, IN
- NPI 1285819664
-
- Orthopedic Physical Therapist
- Indianapolis, IN
- NPI 1538166988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1043312911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 WESLEY CIR",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460629077",
"telephone_number": "317-679-2809",
"fax_number": "317-877-0320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 WESLEY CIR",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460629077",
"telephone_number": "317-679-2809",
"fax_number": "317-877-0320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BRADLEY",
"middle_name": "A.",
"credential": "MSPT,SCS,ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05001715A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS PROVIDER NUMB",
"identifier": "000000502221",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "DB9030",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD PTAN",
"identifier": "P00479059",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Noblesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.