Individual provider Active NPI

Daniel Mark Smires, PT

  • Physical Therapist
  • Plainsboro, NJ
National Provider Identifier
1215026836
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00723100 Issued in NJ
Practice address
5 Plainsboro Rd.
Suite 100
Plainsboro, NJ 08536
Phone
(609) 454-3748
Fax
(609) 454-3764
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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 40QA00723100 NJ Primary

Addresses

Primary practice location

5 Plainsboro Rd.
Suite 100
Plainsboro, NJ 08536

Mailing address

PO Box 3173
Mercerville, NJ 08619-0173
Phone (609) 454-3748

Other identifiers 1

IdentifierTypeStateIssuer
40QA00723100OtherNJLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070726000562 NJ Practitioner - Physical Therapist in Private Practice 7810098415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Occupational and Physical Therapy, PLLCGroup PAC ID 3779873401, shared by 43 NPIs, 497 clinicians
Princeton Bone and Joint LLCGroup PAC ID 4981881620, 5 clinicians

Practice addresses (Care Compare)

281 Witherspoon St
Suite 201
Princeton, NJ 08540-3223
Phone (609) 279-2194

8 Forrestal Rd S
Suite 104
Princeton, NJ 08540-6666
Phone (609) 750-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Bone and Joint, LLC CurrentSince Mar 14, 2012 Accepting new patients
Pivotal Physical Therapy & Wellness Center, LLC Physical Therapist Past Accepting new patients

Locations

5 Plainsboro Rd
Ste 100
Plainsboro, NJ 08536
Phone (609) 750-1600

8 Forrestal Rd S
Ste 104
Princeton, NJ 08540
Phone (609) 750-1600

Organizations & group practices 2

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1215026836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3173",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086190173",
            "telephone_number": "609-454-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PLAINSBORO RD.",
            "address_2": "SUITE 100",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "08536",
            "telephone_number": "609-454-3748",
            "fax_number": "609-454-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIRES",
        "first_name": "DANIEL",
        "middle_name": "MARK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00723100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "40QA00723100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainsboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.