Organization Active NPI

Smith Physical Therapy

  • Physical Therapy Clinic/Center
  • Corvallis, OR
National Provider Identifier
1376351015
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SMITH PHYSICAL THERAPY
Practice address
301 SW 4TH St Ste 185
Corvallis, OR 97333-4654
Phone
(541) 829-3765
NPI assigned
Dec 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Kara Smith, PTNPI 1326307323
Title
Physical Therapist
Phone
(541) 829-3765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

301 SW 4TH St Ste 185
Corvallis, OR 97333-4654

Mailing address

301 SW 4TH St Ste 185
Corvallis, OR 97333-4654

Other identifiers 1

IdentifierTypeStateIssuer
1871704841MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250306002619 OR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9638690647 Receives reassigned benefits from 2 practitioners
Practice locations: Corvallis, OR

National Provider Directory

National Provider Directory

Locations

301 SW 4th St
Ste 185
Corvallis, OR 97333
Phone (541) 215-4482

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1376351015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SW 4TH ST STE 185",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SW 4TH ST STE 185",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334654",
            "telephone_number": "541-829-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "541-829-3765",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871704841",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.