Individual provider Active NPI

Danna Rae Smith, PT, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1174801245
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0016217 Issued in CO
Practice address
200 Quebec St Ste 215
Denver, CO 80230-7144
Phone
(303) 341-0369
NPI assigned
Jul 24, 2011
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 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 1559 SD
Physical Therapist 225100000X 3034 NE
Physical Therapist 225100000X 0016217 CO Primary

Addresses

Primary practice location

200 Quebec St Ste 215
Denver, CO 80230-7144

Mailing address

200 Quebec St Ste 215
Denver, CO 80230-7144
Phone (303) 341-0369

Other practice location 1

755 Fallbrook Blvd
Suite 200
Lincoln, NE 68521-4637
Phone (402) 420-0020

Other identifiers 1

IdentifierTypeStateIssuer
47651OtherNEBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190509000158 CO Practitioner - Physical Therapist in Private Practice 8921272568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Sanford School of Medicine of University of South Dakota, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Therapuetic SpecialistsGroup PAC ID 3476441304, 5 clinicians

Practice addresses (Care Compare)

11265 Decatur St
Suite 300
Westminster, CO 80234-4793
Phone (303) 561-0447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3034NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Therapuetic Specialists Physical Therapist CurrentSince Oct 12, 2019 Accepting new patients
Allergy, Asthma & Immunology Associates P.C. PastSince Aug 1, 2011 Accepting new patients

Locations

11265 Decatur St
Ste 300
Westminster, CO 80234
Phone (303) 561-0447

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1311465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1174801245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 QUEBEC ST STE 215",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307144",
            "telephone_number": "303-341-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 QUEBEC ST STE 215",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307144",
            "telephone_number": "303-341-0369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 Fallbrook Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685214637",
            "country_code": "US",
            "telephone_number": "402-420-0020",
            "fax_number": "402-420-0014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DANNA",
        "middle_name": "RAE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-24",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1559",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3034",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0016217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "47651",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.