Smart Health & Wellness

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SMART HEALTH & WELLNESS

Practice address

27372 Aliso Creek Rd Ste 110
Aliso Viejo, CA 92656-5339

Phone

(949) 520-1014

Fax

(949) 791-4595

NPI assigned

Dec 8, 2023

Organization subpart

No

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

Authorized official

Name

Raymond Benjamin Raven

Title

Ceo and Managing Partner

Phone

(818) 841-3936

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Smart Health & Wellness

  • Orthopaedic Surgery Physician
  • Aliso Viejo, CA
  • NPI 1679227326

  0749642585

  Same PAC ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Aho

  • Physical Therapist
  • Newport Beach, CA
  • NPI 1003572728
  NPD
• John M Kwon, PT, DPT, OCS

  • Orthopedic Physical Therapist
  • Fountain Valley, CA
  • NPI 1104988708
  NPD
• Ryan S Labovitch, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Newport Beach, CA
  • NPI 1003914318
  NPD
• Jeevan Singh Sall, MD

  • Sports Medicine (Family Medicine) Physician
  • Aliso Viejo, CA
  • NPI 1457872244
  NPD
• Matthew Zapf, MD, MSC

  • Orthopaedic Surgery Physician
  • Rancho Mirage, CA
  • NPI 1891115457
  NPD
• Clayton Lillywhite, DPT

  • Physical Therapist
  • Goodyear, AZ
  • NPI 1396385043
  NPD
• Christopher Wayne Manzano, PT, DPT, ATC, CSCS

  • Physical Therapist
  • Charlestown, MA
  • NPI 1558845602
  NPD

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1275300261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 S CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042506",
            "telephone_number": "818-841-3936",
            "fax_number": "818-841-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27372 ALISO CREEK RD STE 110",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565339",
            "telephone_number": "949-520-1014",
            "fax_number": "949-791-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "RAVEN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "CEO AND MANAGING PARTNER",
        "authorized_official_telephone_number": "818-841-3936"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daljeet Singh, MD
• Guneet Singh
• Shivani Singh
• Adam Skrove
• Barry William Slone, PH.D.
• Smart Health & Wellness
• Smart MSK
• Smart Outpatient Surgery Center LLC
• Smiles on the Run Dental Hygiene Practice of Kimberly Farrell Rdhap
• Susanne M Smith Roley, MS OTR/L FOATA

• Physical Therapist in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.