Individual provider Active NPI

Scott Smith, PT

  • Physical Therapist
  • Haleiwa, HI
National Provider Identifier
1477623601
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4674 Issued in HI
Practice address
66-150 Kamehameha Hwy
Haleiwa, HI 96712-1440
Phone
(808) 799-7137
Fax
(808) 356-1084
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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 4674 HI Primary
Physical Therapist 225100000X PT27901 CA

Addresses

Primary practice location

66-150 Kamehameha Hwy
Haleiwa, HI 96712-1440

Mailing address

155 Mokuahi St
Makawao, HI 96768-8963
Phone (808) 398-2552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050411000893 CA Practitioner - Physical Therapist in Private Practice 3870530991 Reassigns benefits to 3 organizations
I20190102001141 HI Practitioner - Physical Therapist in Private Practice 3870530991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkeley Community Physical Therapy IncGroup PAC ID 3971836578, 3 clinicians

Practice addresses (Care Compare)

1834 University Ave
Berkeley, CA 94703-1516
Phone (510) 549-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4674HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
AMC Corporation Physical Therapist CurrentSince Nov 1, 2018 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Sep 19, 2018 Accepting new patients
Health in Harmony Inc Physical Therapist CurrentSince Apr 30, 2021 Accepting new patients
Rynz Corp. Physical Therapist CurrentSince Sep 15, 2017 Accepting new patients
AMC Corporation CurrentSince Nov 1, 2018 Accepting new patients
North Oahu Physical Therapy Inc Current Accepting new patients
Berkeley Community Physical Therapy Inc Physical Therapist CurrentSince Apr 27, 2023 Accepting new patients
Physical Therapy Innovations, Inc. Physical Therapist Past Accepting new patients

Locations

1700 Park St
Ste 200
Alameda, CA 94501
Phone (510) 521-5900

2041 Bancroft Way
Ste 301
Berkeley, CA 94704
Phone (510) 549-2225

1834 University Ave
Berkeley, CA 94703
Phone (510) 549-2225

6937 Village Pkwy
Unit 2160
Dublin, CA 94568

1260 B St
Ste 250
Hayward, CA 94541
Phone (510) 247-9971

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

68 Willow Rd
Menlo Park, CA 94025
Phone (650) 691-8630

66-150 Kamehameha Hwy
Haleiwa, HI 96712
Phone (808) 637-8416

2752 Woodlawn Dr
Ste 5-211
Honolulu, HI 96822
Phone (808) 373-2129

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1477623601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MOKUAHI ST",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688963",
            "telephone_number": "808-398-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66-150 KAMEHAMEHA HWY",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967121440",
            "telephone_number": "808-799-7137",
            "fax_number": "808-356-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2022-05-31",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "4674",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haleiwa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.