Active NPI
Chaz Smith
- Physical Therapist
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-32984
- Practice address
- 10165 E Hampton Ave Ste 111
Mesa, AZ 85209-3327 - Phone
- (480) 354-5424
- NPI assigned
- Jun 19, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | AZ | ||
| Physical Therapist | 225100000X | LPT-32984 | AZ | Primary |
Addresses
Primary practice location
10165 E Hampton Ave Ste 111
Mesa, AZ 85209-3327
Mailing address
9707 E Twinkle Ave
Mesa, AZ 85212-2189
Phone (480) 241-6947
Other practice location 1
20851 E Rittenhouse Rd # E103
Queen Creek, AZ 85142-4493
Phone (329) 448-0677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| BHSM Rehabilitation LLC | Current | Accepting new patients |
Locations
3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404
2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211
10165 E Hampton Ave
Ste 111
Mesa, AZ 85209
Phone (480) 354-5424
4232 E Chandler Blvd
Ste 24
Phoenix, AZ 85048
Phone (602) 362-3701
20851 E Rittenhouse Rd
Ste E103
Queen Creek, AZ 85142
Phone (480) 677-2800
20851 E Rittenhouse Rd
#E103
Queen Creek, AZ 85142
Phone (480) 677-2800
Organizations & group practices 4
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.
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Buckeye, AZ
- NPI 1467129684
-
- Physical Therapy Clinic/Center
- Casa Grande, AZ
- NPI 1679098628
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1093681033
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Gilbert, AZ
- NPI 1497271431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1174208995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9707 E TWINKLE AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852122189",
"telephone_number": "480-241-6947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10165 E HAMPTON AVE STE 111",
"city": "MESA",
"state": "AZ",
"postal_code": "852093327",
"telephone_number": "480-354-5424"
}
],
"practiceLocations": [
{
"address_1": "20851 E Rittenhouse Rd # E103",
"address_purpose": "LOCATION",
"city": "Queen Creek",
"state": "AZ",
"postal_code": "851424493",
"country_code": "US",
"telephone_number": "329-448-0677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "CHAZ",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-19",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-32984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.