Active NPI
Jason M Smith, P.T.
- Physical Therapist
- Upland, CA
National Provider Identifier
1104989748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 32015
- Practice address
- 299 W Foothill Blvd
Suite 200
Upland, CA 91786-3804 - Phone
- (909) 985-2337
- Fax
- (909) 985-4694
- NPI assigned
- Dec 18, 2006
- Last updated
- Oct 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 32015 | CA | Primary |
Addresses
Primary practice location
299 W Foothill Blvd
Suite 200
Upland, CA 91786-3804
Mailing address
299 W Foothill Blvd
Suite 200
Upland, CA 91786-3804
Phone (909) 985-2337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Southern California Keck School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
846 W Foothill Blvd
Suite C
Upland, CA 91786-3784
Phone (909) 985-8686
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rozina and Smith Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
Locations
846 W Foothill Blvd
Ste C
Upland, CA 91786
Phone (909) 985-8686
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Upland, CA
- NPI 1083891014
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224806400000",
"number": "1104989748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 W FOOTHILL BLVD",
"address_2": "SUITE 200",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863804",
"telephone_number": "909-985-2337",
"fax_number": "909-985-4694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 W FOOTHILL BLVD",
"address_2": "SUITE 200",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863804",
"telephone_number": "909-985-2337",
"fax_number": "909-985-4694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JASON",
"middle_name": "M",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2008-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "32015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.