Active NPI
Renee M Smith, DPT
- Physical Therapist
- Palm Desert, CA
National Provider Identifier
1366982183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 293003
- Practice address
- 73345 Highway 111 Ste 103
Palm Desert, CA 92260-3909 - Phone
- (760) 674-0675
- NPI assigned
- Feb 27, 2017
- 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 | 293003 | CA | Primary |
Addresses
Primary practice location
73345 Highway 111 Ste 103
Palm Desert, CA 92260-3909
Mailing address
24630 Washington Ave Ste 200
Murrieta, CA 92562-6177
Phone (951) 696-9353
Other practice location 1
1695 S San Jacinto Ave Ste C
San Jacinto, CA 92583-5103
Phone (951) 665-1510
Other practice location 2
23100 Eucalyptus Ave
Moreno Valley, CA 92553-5439
Phone (951) 485-4594
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293003 | CA | MD | Physical Therapist |
Interoperability endpoints
- renee.smith.p4@direct.caremorewest.nextgenshare.com
- renee.smith.1@32527.direct.athenahealth.com
Organizations & group practices 1
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 Medicine & Rehabilitation Physician
- Whittier, CA
- NPI 1164540902
AZ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1366982183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24630 WASHINGTON AVE STE 200",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925626177",
"telephone_number": "951-696-9353",
"fax_number": "951-973-7216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73345 HIGHWAY 111 STE 103",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922603909",
"telephone_number": "760-674-0675"
}
],
"practiceLocations": [
{
"address_1": "1695 S San Jacinto Ave Ste C",
"address_purpose": "LOCATION",
"city": "San Jacinto",
"state": "CA",
"postal_code": "925835103",
"country_code": "US",
"telephone_number": "951-665-1510",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23100 Eucalyptus Ave",
"address_purpose": "LOCATION",
"city": "Moreno Valley",
"state": "CA",
"postal_code": "925535439",
"country_code": "US",
"telephone_number": "951-485-4594",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "RENEE",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-27",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "293003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.