Dade Schesler Smith, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PTL-11259 Issued in CO

Practice address

5387 Manhattan Cir Ste 100a
Boulder, CO 80303-4283

Phone

(303) 543-7878

NPI assigned

Jun 17, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lone Peak Physical Therapy IncGroup PAC ID 5193637262, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lone Peak Physical Therapy Inc.

  dba Lone Peak Physical Therapy

  • Physical Therapist
  • Big Sky, MT
  • NPI 1477678969

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Lone Peak Physical Therapy Inc

  • Durable Medical Equipment & Medical Supplies
  • Bozeman, MT
  • NPI 1740070564

  Orthopedic

  NPD

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1174818132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4871 S EVERETT ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801231869",
            "telephone_number": "720-878-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5387 MANHATTAN CIR STE 100A",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034283",
            "telephone_number": "303-543-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DADE",
        "middle_name": "SCHESLER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "PTL-11259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Smith, M.A.
• Cameron Smith, CNIM
• Cameron Edward Smith
• Cindy J Smith, LCSW
• Cristin Lee Smith, MSW
• Danielle Marie Smith
• Darvin Smith, MD
• Elizabeth I. Smith, M.A., CCC-SLP
• Elizabeth Kaleigh Jane Smith
• Emma Smith

• Orthopedic Physical Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Orthopedic Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.