Evan Clay Smith, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT32336 Issued in AZ

Practice address

14800 W Mountain View Blvd Ste 260
Surprise, AZ 85374-4797

Phone

(623) 556-5013

Fax

(623) 556-9290

NPI assigned

May 10, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northwest Orthopedic & Sports Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Sun City West, AZ
  • NPI 1073610440
  NPD
• Valley Rehabilitation of Sun City

  • Physical Medicine & Rehabilitation Physician
  • Sun City West, AZ
  • NPI 1942728340

  Physical Therapist

  NPD
• Valley Rehabilitation, LTD.

  • Physical Therapist
  • Peoria, AZ
  • NPI 1497722102
  NPD
• Arizona Infusion Centers LLC

  • Neurology Physician
  • Phoenix, AZ
  • NPI 1184351298
  NPD (past)

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1619613874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14800 W MOUNTAIN VIEW BLVD STE 260",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744797",
            "telephone_number": "623-556-5013",
            "fax_number": "623-556-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 W MOUNTAIN VIEW BLVD STE 260",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744797",
            "telephone_number": "623-556-5013",
            "fax_number": "623-556-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EVAN",
        "middle_name": "CLAY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-10",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "AZ",
            "license": "LPT32336",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "AZ",
            "license": "LPT32336",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "AZ",
            "license": "LPT32336",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT32336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlaina Smith, PMHNP
• Debbie Lynn Smith
• Elizabeth Smith
• Emily Smith
• Erin Nicole Smith, LPC
• Hannah Smith
• Kristin Smith
• Marilyn Smith
• Mikenna F Smith
• Mindy Smith, AGPCNP

• Physical Therapist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.