Active NPI
Stephanie Sciarra Smith, P.T.
- Physical Therapist
- Anderson, CA
National Provider Identifier
1194741900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT26754
- Practice address
- 1920 Barney Rd
Anderson, CA 96007-4337 - Phone
- (530) 365-2142
- Fax
- (530) 365-5655
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT26754 | CA | Primary |
Addresses
Primary practice location
1920 Barney Rd
Anderson, CA 96007-4337
Mailing address
1920 Barney Rd
Anderson, CA 96007-4337
Phone (530) 365-2142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ24040Z | Other | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1920 Barney Rd
Anderson, CA 96007-4337
Phone 5303652142652142
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.43 of 100
- Quality
- 31.61
- Improvement activities
- 40
- Cost
- 82.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT26754 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevate Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
1920 Barney Rd
Anderson, CA 96007
Phone (530) 365-2142
Organizations & group practices 1
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.
-
- Physical Therapist
- Anderson, CA
- NPI 1114538782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1194741900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 BARNEY RD",
"city": "ANDERSON",
"state": "CA",
"postal_code": "960074337",
"telephone_number": "530-365-2142",
"fax_number": "530-365-5655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 BARNEY RD",
"city": "ANDERSON",
"state": "CA",
"postal_code": "960074337",
"telephone_number": "530-365-2142",
"fax_number": "530-365-5655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "STEPHANIE",
"middle_name": "SCIARRA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT26754",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "ZZZ24040Z",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.