Individual provider Active NPI

Christopher Tyler Smith, DPT

  • Physical Therapist
  • Anderson, IN
National Provider Identifier
1205189347
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05009346A Issued in IN
Practice address
4020 Columbus Ave
Anderson, IN 46013-5010
Phone
(765) 641-7605
Fax
(765) 641-7607
NPI assigned
Oct 25, 2012
Last updated
Feb 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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 05009346A IN Primary

Addresses

Primary practice location

4020 Columbus Ave
Anderson, IN 46013-5010

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

1010 S Main St Ste 100
Tipton, IN 46072
Phone (317) 817-1200

Other practice location 2

303 N. Hurstbourne Parkway
Suite 200
Louisville, KY 40222-5158
Phone (502) 412-5847

Other practice location 3

1401 W County Line Rd
Greenwood, IN 46142-5195
Phone (317) 817-1200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191018000516 IN Practitioner - Physical Therapist in Private Practice 4587995782 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians

Practice addresses (Care Compare)

10 Bedel Blvd
Suite C
Batesville, IN 47006-9118
Phone (812) 932-3003

4020 Columbus Ave
Anderson, IN 46013-5010
Phone (765) 641-7605

Merit-based Incentive Payment System (MIPS)

Final score
85.3 of 100Reported as group
Quality
88.48
Improvement activities
40
Cost
72.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas a Brady Sports Medicine Center, PC Physical Therapist CurrentSince Sep 30, 2019 Accepting new patients
Thomas a Brady Sports Medicine Center, PC Physical Therapist CurrentSince Sep 30, 2019 Accepting new patients
300 Wellness LLC Physical Therapist CurrentSince Nov 1, 2025 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4020 Columbus Ave
Anderson, IN 46013
Phone (765) 341-7605

4346 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 641-7605

10 Bedel Blvd
#C
Batesville, IN 47006
Phone (785) 527-3850

201 Pennsylvania Pkwy
Ste 100
Carmel, IN 46280
Phone (317) 817-1636

1675 N National Rd
Ste D
Columbus, IN 47201
Phone (812) 799-1257

1818 N State St
Greenfield, IN 46140
Phone (317) 462-1800

1401 W County Line Rd
Greenwood, IN 46142
Phone (317) 217-1200

433 N Capitol Ave
Ste 102
Indianapolis, IN 46204
Phone (317) 860-1646

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

3300 N Morrison Rd
Muncie, IN 47304
Phone (765) 587-7105

14660 Herriman Blvd
Ste 300
Noblesville, IN 46060
Phone (317) 774-7744

310 Duran Dr
Shelbyville, IN 46176
Phone (317) 421-0244

1010 S Main St
Ste 100
Tipton, IN 46072

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1205189347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 COLUMBUS AVE",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460135010",
            "telephone_number": "765-641-7605",
            "fax_number": "765-641-7607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 S Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tipton",
            "state": "IN",
            "postal_code": "46072",
            "country_code": "US",
            "telephone_number": "317-817-1200",
            "fax_number": "317-817-1220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 N. Hurstbourne Parkway",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402225158",
            "country_code": "US",
            "telephone_number": "502-412-5847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 W County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461425195",
            "country_code": "US",
            "telephone_number": "317-817-1200",
            "fax_number": "317-817-1220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTOPHER",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-25",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009346A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.