Individual provider Active NPI

Alexander Christopher Smith, DPT

  • Physical Therapist
  • Medford, OR
National Provider Identifier
1548827280
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
63263 Issued in OR
Practice address
1911 United Way
Medford, OR 97504-4970
Phone
(541) 773-2999
Fax
(541) 773-1874
NPI assigned
May 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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 63263 OR Primary

Addresses

Primary practice location

1911 United Way
Medford, OR 97504-4970

Mailing address

1911 United Way
Medford, OR 97504-4970
Phone (541) 773-2999

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@adaptmedford.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190709001881 OR Practitioner - Physical Therapist in Private Practice 6406181700 Practice locations: Medford, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63263ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anders Incorporated CurrentSince May 22, 2019 Accepting new patients
Medford Mobile Physical Therapy LLC Physical Therapist Current Accepting new patients

Locations

1911 United Way
Medford, OR 97504
Phone (541) 301-7030

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": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1548827280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 UNITED WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044970",
            "telephone_number": "541-773-2999",
            "fax_number": "541-773-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 UNITED WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044970",
            "telephone_number": "541-773-2999",
            "fax_number": "541-773-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALEXANDER",
        "middle_name": "CHRISTOPHER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@adaptmedford.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1911 United Way",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975044970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.