Individual provider Active NPI

Stephanie Sciarra Smith, P.T.

  • Physical Therapist
  • Anderson, CA
National Provider Identifier
1194741900
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT26754 Issued in CA
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

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ZZZ24040ZOtherMEDICARE GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071231000526 CA Practitioner - Physical Therapist in Private Practice 4082794250 Reassigns benefits to 1 organization

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 100Reported as individual
Quality
31.61
Improvement activities
40
Cost
82.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT26754CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Physical Therapy Inc Physical Therapist CurrentSince Aug 31, 2020 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.

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.

Verify at the official NPI Registry.