Active NPI
Ashley Smith, DPT
- Physical Therapist
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT33929
- Practice address
- 5901 Sun Blvd Ste 110
St Petersburg, FL 33715 - Phone
- (727) 867-5353
- NPI assigned
- May 11, 2017
- Last updated
- Nov 21, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT33929 | FL | Primary |
| Physical Therapist | 225100000X | PA |
Addresses
Primary practice location
5901 Sun Blvd Ste 110
St Petersburg, FL 33715
Mailing address
5901 Sun Blvd Ste 110
St Petersburg, FL 33715-1165
Phone (727) 867-5353
Other practice location 1
921 3rd Ave
Duncansville, PA 16635-1425
Phone (814) 693-0646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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)
8200 Bryan Dairy Rd
Suite 150
Largo, FL 33777-1355
Phone (727) 565-0312
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT33929 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Performance and Physical Therapies-Pinellas Park, LLC | Physical Therapist | Current | Accepting new patients |
Locations
8200 Bryan Dairy Rd
Ste 150
Largo, FL 33777
Phone (727) 550-0312
21756 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 279-6234
Networks
- Freedom Health HMO Network
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.
-
- Physical Therapist
- Largo, FL
- NPI 1912317025
-
- Physical Therapist
- Jacksonville, FL
- NPI 1114542032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542758400000",
"number": "1376070110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 SUN BLVD STE 110",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337151165",
"telephone_number": "727-867-5353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 SUN BLVD STE 110",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "33715",
"telephone_number": "727-867-5353"
}
],
"practiceLocations": [
{
"address_1": "921 3rd Ave",
"address_purpose": "LOCATION",
"city": "Duncansville",
"state": "PA",
"postal_code": "166351425",
"country_code": "US",
"telephone_number": "814-693-0646",
"fax_number": "814-693-0647",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "ASHLEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2018-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT33929",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.