Individual provider Active NPI

Ryan Smeltzer

  • Physical Medicine & Rehabilitation Physician
  • Pelham, AL
National Provider Identifier
1285115550
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PTH9032 Issued in AL
Practice address
3569 Pelham Pkwy Ste 7
Pelham, AL 35124-2033
Phone
(205) 664-8404
Fax
(205) 664-8404
NPI assigned
Aug 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PTH9032 AL Primary

Addresses

Primary practice location

3569 Pelham Pkwy Ste 7
Pelham, AL 35124-2033

Mailing address

2823 Greystone Comm Blvd
Birmingham, AL 35242
Phone (205) 745-3660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181024002977 AL Practitioner - Physical Therapist in Private Practice 8224381033 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH9032ALMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy South Calera LLC CurrentSince Oct 4, 2021 Accepting new patients
Therapy South Cullman LLC CurrentSince Aug 20, 2021 Accepting new patients
Therapy South Pelham, LLC CurrentSince Aug 14, 2018 Accepting new patients

Locations

11090 Highway 25
Calera, AL 35040
Phone (205) 651-4990

1208 Cullman Shopping Ctr NW
Cullman, AL 35055
Phone (256) 775-4456

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

3569 Pelham Pkwy
Ste 7
Pelham, AL 35124
Phone (205) 664-8404

Organizations & group practices 3

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": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1285115550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMM BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35242",
            "telephone_number": "205-745-3660",
            "fax_number": "205-745-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3569 PELHAM PKWY STE 7",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242033",
            "telephone_number": "205-664-8404",
            "fax_number": "205-664-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMELTZER",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "PTH9032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.