Individual provider Active NPI

Shahara D Smith, DPT

  • Physical Therapist
  • Brockton, MA
National Provider Identifier
1275269482
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL26398 Issued in MA
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

Updated by the provider on Mar 6, 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 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 IDStateProvider typePAC IDDetails
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 42 clinicians

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

LicenseStateTypeSpecialty
PTL26398MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. CurrentSince Oct 14, 2022 Accepting new patients
Atrius Health, Inc. Physical Therapist CurrentSince Oct 14, 2022 Accepting new patients
DG Physical Therapy, P.C. CurrentSince Feb 17, 2025 Accepting new patients
DG Physical Therapy PC Physical Therapist Current Accepting new patients
Comeback Physical Therapy, Inc. Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
DG Physical Therapy, P.C. CurrentSince Feb 17, 2025 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.

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.

Verify at the official NPI Registry.