Individual provider Active NPI

Jeffrey Ryan Smith, MPT

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1508837519
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12570 Issued in AZ
Practice address
6059 E Brown Rd
Mesa, AZ 85205-4453
Phone
(602) 429-3400
NPI assigned
Jan 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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 02984 IA
Physical Therapist 225100000X 12570 AZ Primary

Addresses

Primary practice location

6059 E Brown Rd
Mesa, AZ 85205-4453

Mailing address

625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-1940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161102000135 AZ Practitioner - Physical Therapist in Private Practice 7719879022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

15425 S 48TH St
Suite 100
Phoenix, AZ 85044-9133
Phone (602) 661-7517

20311 S Ellsworth Rd
Suite 110
Queen Creek, AZ 85142-2400
Phone (480) 207-4823

2051 W Chandler Blvd
Suite 3
Chandler, AZ 85224-6239
Phone (480) 566-8150

3141 S McClintock Dr
Suite 2
Tempe, AZ 85282-5682
Phone (480) 566-8125

425 N Stapley Dr
Suite 105
Mesa, AZ 85203-7281
Phone (480) 729-8317

5885 W Baseline Rd
Laveen, AZ 85339-3096
Phone (602) 830-9083

6059 E Brown Rd
Mesa, AZ 85205-4453
Phone (602) 429-3400

6070 W Bell Rd
Suite A103
Glendale, AZ 85308-3774
Phone (602) 782-3965

9241 E Cadence Pkwy
Suite 103
Mesa, AZ 85212-0021
Phone (480) 999-4519

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12570AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Oct 22, 2019 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Oct 22, 2019 Accepting new patients

Locations

690 S Cooper Rd
Ste 101
Gilbert, AZ 85233
Phone (480) 503-2100

6070 W Bell Rd
Ste A103
Glendale, AZ 85308
Phone (602) 782-3965

6059 E Brown Rd
Mesa, AZ 85205
Phone (602) 429-3400

702 W Camelback Rd
Ste 17
Phoenix, AZ 85013
Phone (602) 562-8773

8270 S Houghton Rd
Ste 180
Tucson, AZ 85747
Phone (520) 664-1430

6970 N Oracle Rd
Ste 130
Tucson, AZ 85704
Phone (520) 219-5825

3234 E Speedway Blvd
Tucson, AZ 85716
Phone (520) 232-2459

625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

Interoperability endpoints

  • Direct secure messaging: jeffrey.smith.p6@direct.athleticoltd.nextgenshare.com

Organizations & group practices 2

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": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1508837519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6059 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054453",
            "telephone_number": "602-429-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFFREY",
        "middle_name": "RYAN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02984",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "12570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.