Active NPI
Chace Smartt
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1114640372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 7060 N Durango Dr Ste 130
Las Vegas, NV 89149-4605 - Phone
- (702) 826-5749
- Fax
- (702) 273-3015
- NPI assigned
- Sep 22, 2022
- 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 | Primary |
Addresses
Primary practice location
7060 N Durango Dr Ste 130
Las Vegas, NV 89149-4605
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other practice location 1
6916 E State Highway C
Strafford, MO 65757-8291
Phone (866) 370-8206
Other practice location 2
3111 Gordon Dr
Sioux City, IA 51105-3730
Phone (712) 277-0507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672358400000",
"number": "1114640372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206",
"fax_number": "517-435-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7060 N DURANGO DR STE 130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891494605",
"telephone_number": "702-826-5749",
"fax_number": "702-273-3015"
}
],
"practiceLocations": [
{
"address_1": "6916 E State Highway C",
"address_purpose": "LOCATION",
"city": "Strafford",
"state": "MO",
"postal_code": "657578291",
"country_code": "US",
"telephone_number": "866-370-8206",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3111 Gordon Dr",
"address_purpose": "LOCATION",
"city": "Sioux City",
"state": "IA",
"postal_code": "511053730",
"country_code": "US",
"telephone_number": "712-277-0507",
"fax_number": "712-277-0456",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMARTT",
"first_name": "CHACE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-22",
"last_updated": "2022-12-30",
"certification_date": "2022-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.