Individual provider Active NPI

Ronald Scott Smith, DPT

  • Physical Therapist
  • Auburn, CA
National Provider Identifier
1548252174
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36838 Issued in CA
Practice address
11879 Kemper Rd Ste 4
Auburn, CA 95603-9021
Phone
(530) 885-3940
Fax
(530) 885-3984
NPI assigned
Aug 19, 2005
Last updated
Jul 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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 1834 NV
Physical Therapist 225100000X 36838 CA Primary

Addresses

Primary practice location

11879 Kemper Rd Ste 4
Auburn, CA 95603-9021

Mailing address

11879 Kemper Rd Ste 4
Auburn, CA 95603-9021
Phone (530) 885-3940

Other identifiers 1

IdentifierTypeStateIssuer
100503910MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004001016 CA Practitioner - Physical Therapist in Private Practice 5597726984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn Orthopedic and Sports PhysicalGroup PAC ID 9234381583, 4 clinicians

Practice addresses (Care Compare)

11879 Kemper Rd
Suite 4
Auburn, CA 95603-9021
Phone (530) 885-3940

Merit-based Incentive Payment System (MIPS)

Final score
20.75 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
69.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36838CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Orthopedic & Sports Physical Physical Therapist CurrentSince Jan 1, 2013 Accepting new patients
Chynoweth Hill and Leavitt LLC Physical Therapist Past Accepting new patients
Ronald Smith Physical Therapist PastSince Aug 1, 2010 Accepting new patients

Locations

11879 Kemper Rd
Ste 4
Auburn, CA 95603
Phone (530) 885-3940

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1548252174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11879 KEMPER RD STE 4",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039021",
            "telephone_number": "530-885-3940",
            "fax_number": "530-885-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11879 KEMPER RD STE 4",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039021",
            "telephone_number": "530-885-3940",
            "fax_number": "530-885-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RONALD",
        "middle_name": "SCOTT",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1834",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100503910",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.