Individual provider Active NPI

Chase Smith

  • Orthopedic Physical Therapist
  • Monroe, NC
National Provider Identifier
1407619406
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
2585 W Roosevelt Blvd # 418
Monroe, NC 28110-0418
Phone
(704) 285-2806
NPI assigned
Feb 1, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

2585 W Roosevelt Blvd # 418
Monroe, NC 28110-0418

Mailing address

2585 W Roosevelt Blvd # 418
Monroe, NC 28110-0418
Phone (704) 285-2806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240322002741 NC Practitioner - Physical Therapist in Private Practice 2163869314 Reassigns benefits to 1 organization
I20250221001013 SC Practitioner - Physical Therapist in Private Practice 2163869314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Focus, Inc.Group PAC ID 5890851406, 39 clinicians

Practice addresses (Care Compare)

130 Crisanto Ave
Suite a
Fort Mill, SC 29715-6272
Phone (803) 746-4655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Focus, Inc. Orthopedic CurrentSince Mar 10, 2025 Accepting new patients
Evans Physical Therapy & Sport Performance, LLC Orthopedic CurrentSince Feb 17, 2024 Accepting new patients
Ivyrehab Focus, Inc. CurrentSince Mar 10, 2025 Accepting new patients
Evans Physical Therapy & Sport Performance, LLC CurrentSince Oct 27, 2024 Accepting new patients

Locations

2585 W Roosevelt Blvd
Monroe, NC 28110
Phone (704) 606-6897

2585 W Roosevelt Blvd
#418
Monroe, NC 28110
Phone (704) 285-2806

130 Crisanto Ave
Ste A
Fort Mill, SC 29715
Phone (803) 487-5638

9456 Charlotte Hwy
Ste 104
Indian Land, SC 29707
Phone (803) 839-0278

439 Channel Rd
Ste 102
Lake Wylie, SC 29710
Phone (619) 977-0480

1738 Celanese Rd
#102
Rock Hill, SC 29732
Phone (803) 670-3067

Organizations & group practices 4

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": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1407619406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 W ROOSEVELT BLVD # 418",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281100418",
            "telephone_number": "704-285-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 W ROOSEVELT BLVD # 418",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281100418",
            "telephone_number": "704-285-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHASE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.