Individual provider Active NPI

Katie Smith, PT

  • Physical Therapist
  • Scottsbluff, NE
National Provider Identifier
1093018517
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2843 Issued in NE
Practice address
214 W 27TH St
Scottsbluff, NE 69361-4306
Phone
(308) 633-2900
Fax
(308) 575-0334
NPI assigned
Dec 6, 2010
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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 2843 NE Primary

Addresses

Primary practice location

214 W 27TH St
Scottsbluff, NE 69361-4306

Mailing address

3201 17TH Ave
Scottsbluff, NE 69361-1806
Phone (308) 641-1364

Other identifiers 1

IdentifierTypeStateIssuer
10026150800MedicaidNE

Other names 1

  • Katie Hays Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110719000727 NE Practitioner - Physical Therapist in Private Practice 7214105162 Reassigns benefits to 1 organization

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
Elite Physical Therapy and Wellness, LLCGroup PAC ID 9830357870, 2 clinicians

Practice addresses (Care Compare)

214 W 27TH St
Scottsbluff, NE 69361-4306
Phone (308) 633-2900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2843NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Physical Therapy & Wellness, LLC Physical Therapist CurrentSince Dec 6, 2011 Accepting new patients
Elite Chiropractic & Wellness LLC CurrentSince Jul 24, 2023 Accepting new patients

Locations

1270 10th St
Ste 101
Gering, NE 69341
Phone (308) 633-4440

214 W 27th St
Scottsbluff, NE 69361
Phone (308) 633-2900

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, 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": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1093018517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 17TH AVE",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693611806",
            "telephone_number": "308-641-1364",
            "fax_number": "308-575-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W 27TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614306",
            "telephone_number": "308-633-2900",
            "fax_number": "308-575-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026150800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "HAYS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.