Collin Smith

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

11186 Bellaire St Apt 2
Loma Linda, CA 92354-3062

Phone

(831) 227-9377

NPI assigned

Jan 21, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rancho Physical Therapy IncGroup PAC ID 2365346491, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Rancho Physical Therapy, Inc.

  dba Rancho Physical Therapy

  • Physical Therapist
  • Temecula, CA
  • NPI 1679541320
  Medicare reassignment Care Compare group NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Riverside, CA
  • NPI 1316979834
  Medicare reassignment NPD
• Rancho Physical Therapy, Inc.

  dba Rancho Physical Therapy

  • Physical Therapist
  • Murrieta, CA
  • NPI 1245208990
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Rancho Physical Therapy, Inc.

  dba Rancho Physical Therapy

  • Physical Therapist
  • Moreno Valley, CA
  • NPI 1285602946
  NPD (past)
• Rancho Physical Therapy, Inc.

  dba Rancho Physical Therapy

  • Physical Therapist
  • Rancho Cucamonga, CA
  • NPI 1689905325
  NPD (past)
• Rancho Physical Therapy, Inc.

  dba Rancho Physical Therapy

  • Physical Therapist
  • Victorville, CA
  • NPI 1881722999
  NPD (past)
• Rancho Physical Therapy, Inc.

  • Physical Therapist
  • Riverside, CA
  • NPI 1912288309
  NPD (past)

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1184214322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11186 BELLAIRE ST APT 2",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543062",
            "telephone_number": "831-227-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11186 BELLAIRE ST APT 2",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543062",
            "telephone_number": "831-227-9377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10800 Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925053043",
            "country_code": "US",
            "telephone_number": "951-353-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COLLIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-12-08",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10800 Magnolia Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925053043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caroline Small
• Caleb Anthony Smeraldi
• Dana Lianne Smey, ACNP
• Alvin Smith
• Carlie Alphanso Smith, MD
• Cristopher Robert Smith, MD
• Daniel Eldridge Smith, D.O.
• Dominique Smith
• Douglas Smith, M.D.
• Dustin D Smith, M.D.

• Orthopedic Physical Therapist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.