Individual provider Active NPI

Smita Jangid, PT

  • Physical Therapist
  • Buffalo Grove, IL
National Provider Identifier
1083069371
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070019910 Issued in IL
Practice address
1283 W Dundee Rd
Buffalo Grove, IL 60089-4009
Phone
(847) 632-9919
Fax
(773) 585-6201
NPI assigned
Apr 25, 2016
Last updated
Apr 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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 070019910 IL Primary

Addresses

Primary practice location

1283 W Dundee Rd
Buffalo Grove, IL 60089-4009

Mailing address

1283 W Dundee Rd
Buffalo Grove, IL 60089-4009
Phone (847) 632-9919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200422003011 CA Practitioner - Physical Therapist in Private Practice 2668764796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy and Ergonomics IncGroup PAC ID 7810147873, 4 clinicians

Practice addresses (Care Compare)

4133 Mohr Ave
Suite H
Pleasanton, CA 94566-4750
Phone (925) 222-3195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Valley Orthopedic and Sports Medical Group Inc Physical Therapist Current Accepting new patients
Tri-Valley Orthopedic and Sports Medical Group Inc Physical Therapist CurrentSince Mar 18, 2020 Accepting new patients
Advanced Physical Therapy & Ergonomics Inc Physical Therapist CurrentSince Oct 18, 2024 Accepting new patients
Tri-Valley Orthopedic and Sports Medical Group Inc CurrentSince Mar 18, 2020 Accepting new patients
Bass Medical Group Past Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

4133 Mohr Ave
Ste H
Pleasanton, CA 94566
Phone (925) 222-3195

4626 Willow Rd
Ste 200
Pleasanton, CA 94588
Phone (925) 463-0470

5601 Norris Canyon Rd
Ste 130
San Ramon, CA 94583
Phone (925) 463-0470

2180 W Grant Line Rd
Ste 100
Tracy, CA 95377
Phone (925) 463-0470

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1083069371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894009",
            "telephone_number": "847-632-9919",
            "fax_number": "773-585-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894009",
            "telephone_number": "847-632-9919",
            "fax_number": "773-585-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANGID",
        "first_name": "SMITA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070019910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.