Active NPI
Shahara D Smith, DPT
- Physical Therapist
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL26398
- Practice address
- 390 Pleasant St Ste 2
Brockton, MA 02301-3238 - Phone
- (508) 587-2225
- Fax
- (508) 587-2226
- NPI assigned
- Jul 29, 2022
- 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 | PTL26398 | MA | Primary |
Addresses
Primary practice location
390 Pleasant St Ste 2
Brockton, MA 02301-3238
Mailing address
390 Pleasant St Ste 2
Brockton, MA 02301-3238
Phone (508) 587-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221013001279 | MA | Practitioner - Physical Therapist in Private Practice | 0042686297 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DG Physical Therapy PC
Practice addresses (Care Compare)
675 Paramount Dr
Suite 101
Raynham, MA 02767-5416
Phone (508) 828-1011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL26398 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Current | Accepting new patients | |
| Atrius Health, Inc. | Physical Therapist | Current | Accepting new patients |
| DG Physical Therapy, P.C. | Current | Accepting new patients | |
| DG Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Comeback Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| DG Physical Therapy, P.C. | Current | Accepting new patients | |
| Atrius Health, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
390 Pleasant St
Ste 2
Brockton, MA 02301
Phone (508) 587-2225
4 Meeting House Rd
Ste 5
Chelmsford, MA 01824
Phone (978) 970-2460
1 Lyons St
Dedham, MA 02026
Phone (781) 278-5511
415 Neponset Ave
Ste 2B
Dorchester, MA 02122
Phone (617) 287-2225
675 Paramount Dr
Ste 101
Raynham, MA 02767
Phone (508) 821-4049
966 Park St
Ste A2
Stoughton, MA 02072
Phone (781) 341-1000
Organizations & group practices 7
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 Therapy Clinic/Center
- Chelmsford, MA
- NPI 1295279198
MA, Physical Therapist
-
- Physical Therapist
- Dorchester, MA
- NPI 1013295054
MA, Physical Therapist
-
- Internal Medicine Physician
- Boston, MA
- NPI 1265646921
-
- Physical Therapy Clinic/Center
- Raynham, MA
- NPI 1235764267
-
- Physical Therapy Clinic/Center
- North Grafton, MA
- NPI 1881270544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1275269482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 PLEASANT ST STE 2",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023013238",
"telephone_number": "508-587-2225",
"fax_number": "508-587-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 PLEASANT ST STE 2",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023013238",
"telephone_number": "508-587-2225",
"fax_number": "508-587-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SHAHARA",
"middle_name": "D",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-29",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "PTL26398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.