Active NPI
Smith Physical Therapy
- Physical Therapy Clinic/Center
- Corvallis, OR
National Provider Identifier
1376351015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kara Smith, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871704841 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Corvallis, OR
- NPI 1326307323
-
- Physical Therapist
- Corvallis, OR
- NPI 1871704841
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.