Stefan S Smith, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0015009 Issued in DE

Practice address

210 Cleaver Farms Rd Ste 1
Middletown, DE 19709-1670

Phone

(302) 449-2048

Fax

(302) 449-2047

NPI assigned

Jan 6, 2025

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 DE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite PT LLCGroup PAC ID 7315032711, 17 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.

• Elite PT LLC

  • Physical Therapist
  • Wilmington, DE
  • NPI 1063684041
  Medicare reassignment Care Compare group
• Premier Physical Therapy and Sports Performance Limited Partnership

  • Physical Therapist
  • Middletown, DE
  • NPI 1417320151
  Medicare reassignment NPD
• Premier Physical Therapy and Sports Performance Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Milford, DE
  • NPI 1457943623
  NPD

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1184433955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 INDUSTRIAL DR STE 210",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197092803",
            "telephone_number": "302-449-2048",
            "fax_number": "302-449-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CLEAVER FARMS RD STE 1",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091670",
            "telephone_number": "302-449-2048",
            "fax_number": "302-449-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEFAN",
        "middle_name": "S",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0015009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sisters of Hope Services
• Sleepcare Centers, Inc.
• Shiney Smiley, MOTR/L
• Kellie-Ann Smith
• Randy Smith, DPT
• Sohar Health, Inc.
• Omar Soliman, PA-C
• Raymond Robert Solinger, DPT
• Nicole Cheyonne Solomon, MSS MLSP
• Irene M. Soucy, R.D.

• Physical Therapist in Middletown, DE
• Providers in Middletown, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.