Bradley James Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22821 Issued in CA

Practice address

5289 State St
Kelseyville, CA 95451

Phone

(707) 279-0881

Fax

(707) 279-0887

NPI assigned

Apr 22, 2006

Last updated

May 25, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.32 of 100Reported as individual

Quality

89.23

Improvement activities

40

Cost

71.77

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bradley Smith Innovative Physical Therapy

  • Physical Therapist
  • Kelseyville, CA
  • NPI 1326361098
  NPD (past) Authorized official
• Adventist Health Clearlake Hospital Inc.

  dba Adventist Health Clear Lake

  • Critical Access Hospital
  • Clearlake, CA
  • NPI 1124018031
  NPD (past)
• Clear Lake Physical Therapy Inc

  • Physical Therapist
  • Lakeport, CA
  • NPI 1245295385
  NPD (past)
• Clear Lake Physical Therapy Inc

  • Physical Therapist
  • Clearlake, CA
  • NPI 1477502912
  NPD (past)

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1407812019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551",
            "city": "KELSEYVILLE",
            "state": "CA",
            "postal_code": "954510551",
            "telephone_number": "707-279-0881",
            "fax_number": "707-279-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5289 STATE ST",
            "city": "KELSEYVILLE",
            "state": "CA",
            "postal_code": "95451",
            "telephone_number": "707-279-0881",
            "fax_number": "707-279-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRADLEY",
        "middle_name": "JAMES",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychiatric Care Medical Corporation
• Crystal Rodrigues
• Ruth a Stewart (Kelseyville Pharmacy)
• Mark Seelig, PHD, NAT DOCTOR
• Olga Segal, MD
• Lori Smith
• Specialty Care and Surgery Center
• Specialty Care and Surgery Center
• Specialty Care and Surgery Center
• Joseph William Spickler, M.D.

• Physical Therapist in Kelseyville, CA
• Providers in Kelseyville, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.