Active NPI
Demarkis Smith, PT
- Physical Therapist
- Mesa, AZ
National Provider Identifier
1528438918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11818
- Practice address
- 1015 S Val Vista Dr
Unit 11
Mesa, AZ 85204-5673 - Phone
- (810) 577-5066
- NPI assigned
- Sep 29, 2015
- Last updated
- Jul 12, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11818 | AZ | Primary |
Addresses
Primary practice location
1015 S Val Vista Dr
Unit 11
Mesa, AZ 85204-5673
Mailing address
1015 S Val Vista Dr
Unit 11
Mesa, AZ 85204-5673
Phone (810) 577-5066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21300 N John Wayne Pkwy
Suite 107
Maricopa, AZ 85139-8964
Phone (520) 868-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibrantcare Outpatient Rehabilitation West Inc | Past | Accepting new patients | |
| Vibrantcare Outpatient Rehabilitation West Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Maricopa, AZ
- NPI 1336699115
-
- Physical Therapist
- Chandler, AZ
- NPI 1811265929
-
dba VibrantCare Rehabilitation
- Physical Therapy Clinic/Center
- Phoenix, AZ
- NPI 1114921871
-
dba VibrantCare Outpatient Rehabilitation - Tucson East
- Physical Therapy Clinic/Center
- Tucson, AZ
- NPI 1699779223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1528438918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 S VAL VISTA DR",
"address_2": "UNIT 11",
"city": "MESA",
"state": "AZ",
"postal_code": "852045673",
"telephone_number": "810-577-5066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 S VAL VISTA DR",
"address_2": "UNIT 11",
"city": "MESA",
"state": "AZ",
"postal_code": "852045673",
"telephone_number": "810-577-5066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DEMARKIS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-29",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "11818",
"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 Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.