Active NPI
Meghan Dionndra Smith, DPT
- Physical Therapist
- Stayton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 63310
- Practice address
- 1750 Wilco Rd
Stayton, OR 97383-1085 - Phone
- (503) 769-7131
- Fax
- (503) 769-7132
- NPI assigned
- Aug 8, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1272898 | TX | |
| Physical Therapist | 225100000X | PT27133 | FL | |
| Physical Therapist | 225100000X | 63310 | OR | Primary |
Addresses
Primary practice location
1750 Wilco Rd
Stayton, OR 97383-1085
Mailing address
1801 Brantley Road #905
Fort Myers, FL 33907-3994
Phone (256) 603-2826
Other practice location 1
6314 Whiskey Creek Drive
D
Fort Myers, FL 33919
Phone (239) 432-0556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2431 Broadway
Everett, WA 98201-3018
Phone (425) 252-4600
3719 88TH St NE
Suite a
Marysville, WA 98270-7228
Phone (360) 659-9621
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63310 | OR | MD | Physical Therapist |
| 1272898 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Rehabilitation Associates, PLLC | Physical Therapist | Current | Accepting new patients |
| Summit Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
| Summit Rehabilitation PLLC | Current | Accepting new patients | |
| Cascade Rehabilitation Associates, PLLC | Physical Therapist | Current | Accepting new patients |
| Summit Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
| PT Northwest LLC | Past | Accepting new patients |
Locations
2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010
10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885
2431 Broadway
Everett, WA 98201
Phone (425) 252-4600
9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327
3719 88th St NE
Ste A
Marysville, WA 98270
Phone (360) 659-9621
Organizations & group practices 6
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.
-
- Occupational Therapist
- Everett, WA
- NPI 1245361617
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Lake Stevens, WA
- NPI 1558492934
Physical Therapist
-
- Physical Therapist
- Mukilteo, WA
- NPI 1770359010
-
- Physical Therapy Clinic/Center
- Lake Stevens, WA
- NPI 1013648153
-
- Physical Therapist
- Everett, WA
- NPI 1760374771
-
- Physical Therapy Clinic/Center
- Salem, OR
- NPI 1417934886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1144577222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 BRANTLEY ROAD #905",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339073994",
"telephone_number": "256-603-2826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 WILCO RD",
"city": "STAYTON",
"state": "OR",
"postal_code": "973831085",
"telephone_number": "503-769-7131",
"fax_number": "503-769-7132"
}
],
"practiceLocations": [
{
"address_1": "6314 Whiskey Creek Drive",
"address_2": "D",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "33919",
"country_code": "US",
"telephone_number": "239-432-0556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "MEGHAN",
"middle_name": "DIONNDRA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-08",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1272898",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT27133",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "63310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stayton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.