Individual provider Active NPI

Jana Mitsue Smith, PT

  • Geriatric Physical Therapist
  • Laguna Niguel, CA
National Provider Identifier
1245346329
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT23583 Issued in CA
Practice address
27881 La Paz Rd
Suite G262
Laguna Niguel, CA 92677-3933
Phone
(714) 281-0169
Fax
(714) 281-2238
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PT23583 CA Primary

Addresses

Primary practice location

27881 La Paz Rd
Suite G262
Laguna Niguel, CA 92677-3933

Mailing address

27881 La Paz Rd
Suite G262
Laguna Niguel, CA 92677-3933
Phone (714) 281-0169

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050509001084 CA Practitioner - Physical Therapist in Private Practice 4486694445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

25251 Paseo de Alicia
Suite 204
Laguna Hills, CA 92653-4616
Phone (949) 770-8767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT23583CAMDGeriatric Physical Therapist
23583CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic and Neurological Rehab Inc Geriatrics CurrentSince Mar 7, 2020 Accepting new patients
La Paz Chiropractic and Rehabilitation, Inc. Preziosi, Adamo CurrentSince May 18, 2021 Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc CurrentSince Mar 7, 2020 Accepting new patients
Mesisca Physical Therapy Inc Geriatrics PastSince Jul 28, 2003 Accepting new patients
JM Physical Therapy Inc Geriatrics Past Accepting new patients
La Paz Spine and Rehab Inc PastSince May 18, 2021 Accepting new patients

Locations

25251 Paseo de Alicia
Ste 204
Laguna Hills, CA 92653
Phone (949) 215-2287

3499 Grande Vista Dr
Thousand Oaks, CA 91320
Phone (949) 485-2022

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

1101 S Capital of Texas Hwy
Bldg G
West Lake Hills, TX 78746
Phone (512) 275-9419

Organizations & group practices 6

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1245346329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27881 LA PAZ RD",
            "address_2": "SUITE G262",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773933",
            "telephone_number": "714-281-0169",
            "fax_number": "714-281-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27881 LA PAZ RD",
            "address_2": "SUITE G262",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773933",
            "telephone_number": "714-281-0169",
            "fax_number": "714-281-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JANA",
        "middle_name": "MITSUE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT23583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.