Individual provider Active NPI

Terence J Smith

  • Physical Therapist
  • Glenolden, PA
National Provider Identifier
1467586396
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015227 Issued in PA
Practice address
901 W Ashland Ave
Glenolden, PA 19036-1101
Phone
(610) 461-6522
Fax
(610) 461-1842
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015227 PA Primary

Addresses

Primary practice location

901 W Ashland Ave
Glenolden, PA 19036-1101

Mailing address

901 W Ashland Ave
Glenolden, PA 19036-1101
Phone (610) 461-6522

Other identifiers 4

IdentifierTypeStateIssuer
102198738-0002MedicaidPA
11749100OtherPAKEYSTONE MERCY
2399956000OtherPAIBC
1732417OtherPAHIGHMARK PABS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050606000279 PA Practitioner - Physical Therapist in Private Practice 2769425388 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician'S Rehabilitation Services PCGroup PAC ID 8921993429, 2 clinicians

Practice addresses (Care Compare)

5 W Wissahickon Ave
Flourtown, PA 19031-1917
Phone (215) 233-6145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Rehabilitation Services, PC Physical Therapist CurrentSince Nov 26, 2018 Accepting new patients
La Fortaleza Physical Therapy Center Inc. Physical Therapist CurrentSince Mar 9, 2021 Accepting new patients
La Fortaleza Physical Therapy Center Inc Physical Therapist CurrentSince Mar 9, 2021 Accepting new patients
Inner Circle Consulting, Inc. Physical Therapist PastSince Nov 5, 1998 Accepting new patients
Core Performance and Rehabilitation Physical Therapist Past Accepting new patients
Dynamic Therapy Services of Pennsylvania LLC Physical Therapist Past Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist Past Accepting new patients
La Fortaleza Physical Therapy Inc Physical Therapist PastSince Mar 9, 2021 Accepting new patients

Locations

3251 Cedar St
Philadelphia, PA 19134
Phone (215) 427-2242

7500 Central Ave
Ste 102
Philadelphia, PA 19111
Phone (267) 388-6077

133 W Hunting Park Ave
Philadelphia, PA 19140
Phone (215) 324-0600

Organizations & group practices 8

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1467586396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W ASHLAND AVE",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "190361101",
            "telephone_number": "610-461-6522",
            "fax_number": "610-461-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W ASHLAND AVE",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "190361101",
            "telephone_number": "610-461-6522",
            "fax_number": "610-461-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TERENCE",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102198738-0002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "11749100",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2399956000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PABS",
            "identifier": "1732417",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenolden, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.