Individual provider Active NPI

Ashley Smith, MPT

  • Physical Therapist
  • Fort Wayne, IN
National Provider Identifier
1104157379
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05010178A Issued in IN
Practice address
5800 Fairfield Ave
Suite 150
Fort Wayne, IN 46807-3400
Phone
(260) 744-5585
Fax
(260) 744-5586
NPI assigned
Jan 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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 05010178A IN Primary

Addresses

Primary practice location

5800 Fairfield Ave
Suite 150
Fort Wayne, IN 46807-3400

Mailing address

12844 Coldwater Rd
Ste B
Fort Wayne, IN 46845-8833
Phone (260) 744-5585

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100325000847 IN Practitioner - Physical Therapist in Private Practice 3577699883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steppin' Up Physical Therapy, Inc.Group PAC ID 3476516071, 21 clinicians

Practice addresses (Care Compare)

3805 S Calhoun St
Fort Wayne, IN 46807-2010
Phone 2604977191201

9823 Auburn Rd
Fort Wayne, IN 46825-2347
Phone (260) 497-7191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Steppin Up Physical Therapy, Inc. CurrentSince Jan 20, 2010 Accepting new patients
Steppin Up Physical Therapy, Inc. Physical Therapist CurrentSince Jan 20, 2010 Accepting new patients

Locations

5800 Fairfield Ave
Ste 150
Fort Wayne, IN 46807
Phone (260) 744-5585

12844 Coldwater Rd
Ste B
Fort Wayne, IN 46845

9823 Auburn Rd
Fort Wayne, IN 46825

3805 S Calhoun St
Fort Wayne, IN 46807
Phone 2604977191201

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": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1104157379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12844 COLDWATER RD",
            "address_2": "STE B",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458833",
            "telephone_number": "260-744-5585",
            "fax_number": "260-744-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 FAIRFIELD AVE",
            "address_2": "SUITE 150",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468073400",
            "telephone_number": "260-744-5585",
            "fax_number": "260-744-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-27",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010178A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.