Active NPI
Jeffrey Ryan Smith, MPT
- Physical Therapist
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12570
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12570 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | 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
- 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.