Individual provider Active NPI

Bradley A. Smith, MSPT,SCS,ATC

  • Physical Therapist
  • Noblesville, IN
National Provider Identifier
1043312911
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05001715A Issued in IN
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

Updated by the provider on Aug 28, 2026

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 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

IdentifierTypeStateIssuer
000000502221OtherINANTHEM BCBS PROVIDER NUMB
DB9030OtherGARAILROAD MEDICARE GROUP
P00479059OtherGARAILROAD 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

LicenseStateTypeSpecialty
05001715AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.