Individual provider Active NPI

Meghan Dionndra Smith, DPT

  • Physical Therapist
  • Stayton, OR
National Provider Identifier
1144577222
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
63310 Issued in OR
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

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20250806000374 WA Practitioner - Physical Therapist in Private Practice 0143473199 Reassigns benefits to 2 organizations

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
Cascade Rehabilitation Associates PLLCGroup PAC ID 2567375728, 16 clinicians
Summit Rehabilitation PLLCGroup PAC ID 9133012362, 54 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
63310ORMDPhysical Therapist
1272898TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Rehabilitation Associates, PLLC Physical Therapist CurrentSince Jul 14, 2025 Accepting new patients
Summit Rehabilitation PLLC Physical Therapist Current Accepting new patients
Summit Rehabilitation PLLC CurrentSince Jul 14, 2025 Accepting new patients
Cascade Rehabilitation Associates, PLLC Physical Therapist CurrentSince Jul 14, 2025 Accepting new patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Jul 14, 2025 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.

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.

Verify at the official NPI Registry.