Individual provider Active NPI

James Smith, DPT

  • Physical Therapist
  • Mansfield, TX
National Provider Identifier
1063943603
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38113 Issued in FL
Practice address
3141 E Broad St Ste 111
Mansfield, TX 76063-6425
Phone
(817) 435-5248
Fax
(817) 435-5249
NPI assigned
Mar 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT38113 FL Primary
Physical Therapist 225100000X PT292724 CA
Physical Therapist 225100000X TX

Addresses

Primary practice location

3141 E Broad St Ste 111
Mansfield, TX 76063-6425

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

8840 Cypress Waters Blvd Ste 300
Coppell, TX 75019-4630
Phone (469) 524-5526

Other practice location 2

9724 Commerce Center Ct Ste B
Fort Myers, FL 33908-3608
Phone (239) 223-0484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220108000141 FL Practitioner - Physical Therapist in Private Practice 7315349297 Reassigns benefits to 1 organization
I20240325003901 TX Practitioner - Physical Therapist in Private Practice 7315349297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT292724CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC CurrentSince Mar 4, 2024 Accepting new patients
Back in Motion Sport & Spine Physical Therapy LLC Physical Therapist CurrentSince Nov 29, 2021 Accepting new patients
Lifestyle Hearing Corporation USA Inc CurrentSince Jan 31, 2022 Accepting new patients
Back in Motion Cape Coral LLC Physical Therapist CurrentSince Jan 31, 2022 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients

Locations

2708 Santa Barbara Blvd
Ste 145
Cape Coral, FL 33914
Phone (239) 214-3589

4784 Pelican Sound Blvd
Estero, FL 33928
Phone (239) 233-0484

9400 Gladiolus Dr
Ste 100
Fort Myers, FL 33908
Phone (239) 223-0484

9724 Commerce Center Ct
Ste B
Fort Myers, FL 33908
Phone (239) 223-0484

9724 Commerce Center Ct
Ste 2
Fort Myers, FL 33908

790 Remington Blvd
Bolingbrook, IL 60440

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

3141 E Broad St
Ste 111
Mansfield, TX 76063
Phone (817) 435-5248

Interoperability endpoints

  • Direct secure messaging: james.smith.1@15749.direct.athenahealth.com

Organizations & group practices 5

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": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1063943603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 E BROAD ST STE 111",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636425",
            "telephone_number": "817-435-5248",
            "fax_number": "817-435-5249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8840 Cypress Waters Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750194630",
            "country_code": "US",
            "telephone_number": "469-524-5526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9724 Commerce Center Ct Ste B",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083608",
            "country_code": "US",
            "telephone_number": "239-223-0484",
            "fax_number": "239-790-0969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-24",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38113",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT292724",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.