Individual provider Active NPI

Sandra Moran Smith, PT

  • Physical Therapist
  • Winter Park, FL
National Provider Identifier
1396765350
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32743 Issued in FL
Practice address
1870 Aloma Ave Ste 280
Winter Park, FL 32789
Phone
(407) 637-5856
Fax
(321) 972-5485
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT32743 FL Primary
Physical Therapist 225100000X 004133 GA

Addresses

Primary practice location

1870 Aloma Ave Ste 280
Winter Park, FL 32789

Mailing address

336 Broad St Ste 203
Rome, GA 30161-3006
Phone (407) 322-3442

Other practice location 1

600 W North Blvd Ste D
Leesburg, FL 34748-5000
Phone (800) 787-9300

Other practice location 2

1870 Aloma Ave Ste 280
Winter Park, FL 32789
Phone (407) 637-5856

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222001171 FL Practitioner - Physical Therapist in Private Practice 3173526860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as group
Quality
86.58
Improvement activities
40
Cost
68.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 19, 2024 Accepting new patients
Sovereign Rehabilitation of Cumming, LLC Physical Therapist Current Accepting new patients
Ability Health Services and Rehabilitation LP Past Accepting new patients

Locations

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

5401 W Kennedy Blvd
Ste 100
Tampa, FL 33609
Phone (813) 323-1959

5610 Bethelview Rd
Ste 400
Cumming, GA 30040
Phone (770) 781-8851

5555 Ptree Dunwoody Rd NE
Ste 201
Sandy Springs, GA 30342
Phone (404) 835-3340

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1396765350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 BROAD ST STE 203",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613006",
            "telephone_number": "407-322-3442",
            "fax_number": "352-787-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 ALOMA AVE STE 280",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32789",
            "telephone_number": "407-637-5856",
            "fax_number": "321-972-5485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W North Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485000",
            "country_code": "US",
            "telephone_number": "800-787-9300",
            "fax_number": "352-787-4522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1870 Aloma Ave Ste 280",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "32789",
            "country_code": "US",
            "telephone_number": "407-637-5856",
            "fax_number": "321-972-5485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SANDRA",
        "middle_name": "MORAN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32743",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "004133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.