Walston Zachary Smith, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

11435 80TH PL S
Seattle, WA 98178-3649

Phone

(425) 243-3149

NPI assigned

Aug 9, 2017

Last updated

Jul 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hidef Seattle,LLCGroup PAC ID 1850775917, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hidef Seattle,LLC

  dba HIDEF Seattle Sports & Physical Therapy

  • Physical Therapy Clinic/Center
  • Maple Valley, WA
  • NPI 1841814027
  Medicare reassignment Care Compare group NPD Authorized official
• 520 Physical Therapy, LLC

  dba HIDEF Physical Therapy

  • Physical Therapy Clinic/Center
  • Bellevue, WA
  • NPI 1740864982

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1114442365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26431 233RD AVE SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980386808",
            "telephone_number": "253-218-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11435 80TH PL S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981783649",
            "telephone_number": "425-243-3149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11711 NE 12th St",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980052461",
            "country_code": "US",
            "telephone_number": "425-454-1405",
            "fax_number": "425-635-9340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WALSTON",
        "middle_name": "ZACHARY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-09",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Lynn Smith
• Tanya T. Smith, MD
• Timothy Linn Smith, CRNA
• Tracy Smith, CDPT
• Tuanh Pham Smith, D.D.S.
• Wendy E Smith, LMHC
• Willie Lee Smith
• Matthew Langston Smitherman, MD
• Regina Smithrud, MA
• Callie M Smithson, D.D.S.

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.