Active NPI
Meredith Rae Smylie, MPT
- Physical Therapist
- Orangevale, CA
National Provider Identifier
1447868658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22431
- Practice address
- 8685 Greenback LN
Orangevale, CA 95662-3987 - Phone
- (916) 505-2067
- NPI assigned
- Jul 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22431 | CA | Primary |
Addresses
Primary practice location
8685 Greenback LN
Orangevale, CA 95662-3987
Mailing address
4236 Younger Way
Carmichael, CA 95608-6648
Phone (916) 505-2067
Other names 1
- Meredith Rae Smylie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22431 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1447868658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4236 YOUNGER WAY",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956086648",
"telephone_number": "916-505-2067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8685 GREENBACK LN",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956623987",
"telephone_number": "916-505-2067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMYLIE",
"first_name": "MEREDITH",
"middle_name": "RAE",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-14",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "22431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEREDITH",
"last_name": "SMYLIE",
"middle_name": "RAE",
"credential": "MPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Orangevale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.