Individual provider Active NPI

Jeffrey Smith, PT, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1366928673
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
043000 Issued in NY
Practice address
70 Pine St
New York, NY 10005-1522
Phone
(646) 973-5433
Fax
(212) 379-2135
NPI assigned
Jul 19, 2018
Last updated
Jun 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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 043000 NY Primary

Addresses

Primary practice location

70 Pine St
New York, NY 10005-1522

Mailing address

307 5TH Ave FL 6
New York, NY 10016-6575
Phone (212) 759-2282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190322000518 NY Practitioner - Physical Therapist in Private Practice 9234479569 Reassigns benefits to 1 organization
I20250521001290 NJ Practitioner - Physical Therapist in Private Practice 9234479569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

111 Washington St FL
2 Spear Hoboken
Hoboken, NJ 07030-7796
Phone (201) 808-2245

161 6TH Ave
New York, NY 10013-1205
Phone (646) 847-1686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043000NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Spear Physical and Occupational Therapy, LLC Physical Therapist CurrentSince Mar 13, 2019 Accepting new patients
Spear Physical and Occupational Therapy, LLC Physical Therapist CurrentSince May 6, 2025 Accepting new patients

Locations

1 American Dream Way
Ste C147
East Rutherford, NJ 07073
Phone (201) 322-5585

102 Madison Ave
Fl 8
New York, NY 10016

120 E 56th St
Rm 1010
New York, NY 10022
Phone (646) 790-7466

161 Avenue of the Americas
New York, NY 10013
Phone (212) 627-1222

30 Broad St
New York, NY 10004
Phone (212) 530-0630

307 5th Ave
Fl 6
New York, NY 10016
Phone (646) 790-7464

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1366928673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 5TH AVE FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166575",
            "telephone_number": "212-759-2282",
            "fax_number": "212-379-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PINE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100051522",
            "telephone_number": "646-973-5433",
            "fax_number": "212-379-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-19",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.