Active NPI
Megan Jade Smith, DPT
- Physical Therapist
- Oklahoma City, OK
National Provider Identifier
1487179693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5288
- Practice address
- 6500 N Portland Ave
Oklahoma City, OK 73116-2035 - Phone
- (405) 767-6500
- NPI assigned
- Aug 8, 2017
- 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 | 5288 | OK | Primary |
Addresses
Primary practice location
6500 N Portland Ave
Oklahoma City, OK 73116-2035
Mailing address
1011 Saint Andrews Dr
Edmond, OK 73025-2646
Phone (405) 517-5556
Other practice location 1
6400 N Santa Fe Ave
Oklahoma City, OK 73116-9126
Phone (405) 840-2903
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focus on Function, Inc. | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1487179693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 SAINT ANDREWS DR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730252646",
"telephone_number": "405-517-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 N PORTLAND AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731162035",
"telephone_number": "405-767-6500"
}
],
"practiceLocations": [
{
"address_1": "6400 N Santa Fe Ave",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731169126",
"country_code": "US",
"telephone_number": "405-840-2903",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "MEGAN",
"middle_name": "JADE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "OK",
"license": "5288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.