Individual provider Active NPI

Ashley Michelle Smith, DPT

  • Physical Therapist
  • Broken Arrow, OK
National Provider Identifier
1497133052
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1306 E College St
Broken Arrow, OK 74012-4205
Phone
(918) 251-3200
NPI assigned
May 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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 OK Primary

Addresses

Primary practice location

1306 E College St
Broken Arrow, OK 74012-4205

Mailing address

1306 E College St
Broken Arrow, OK 74012-4205
Phone (918) 251-3200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230613000675 OK Practitioner - Physical Therapist in Private Practice 3678930294 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Area Hospital Holdings, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Cleveland Area Hospital Holdings, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Cleveland Area Hospital Holdings, Inc. Past Accepting new patients

Locations

1401 W Pawnee St
Cleveland, OK 74020
Phone (918) 358-2501

Organizations & group practices 3

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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1497133052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 E COLLEGE ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124205",
            "telephone_number": "918-251-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 E COLLEGE ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124205",
            "telephone_number": "918-251-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ASHLEY",
        "middle_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.