Individual provider Active NPI

Ryan Matthew Smith, DPT

  • Orthopedic Physical Therapist
  • Tulsa, OK
National Provider Identifier
1639247679
Registry record updated Mar 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT2783 Issued in OK
Practice address
3345 S Harvard Ave Ste 101
Tulsa, OK 74135-1800
Phone
(918) 574-2575
Fax
(918) 340-6632
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT2783 OK Primary

Addresses

Primary practice location

3345 S Harvard Ave Ste 101
Tulsa, OK 74135-1800

Mailing address

3345 S Harvard Ave Ste 301
Tulsa, OK 74135-1815
Phone (918) 574-2575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150323001466 OK Practitioner - Physical Therapist in Private Practice 7719204254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Physical Therapy Specialists, PLLCGroup PAC ID 6901123447, 9 clinicians

Practice addresses (Care Compare)

3345 S Harvard Ave
Suite 101
Tulsa, OK 74135-1800
Phone (918) 574-2575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2783OKMDOptometrist
PT2783OKMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Physical Therapy Specialists, PLLC Orthopedic CurrentSince Mar 1, 2015 Accepting new patients

Locations

3345 S Harvard Ave
Ste 301
Tulsa, OK 74135
Phone (918) 574-2575

3345 S Harvard Ave
Ste 101
Tulsa, OK 74135
Phone (918) 574-2575

Organizations & group practices 1

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710633600000",
    "number": "1639247679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 S HARVARD AVE STE 301",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741351815",
            "telephone_number": "918-574-2575",
            "fax_number": "918-340-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 S HARVARD AVE STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741351800",
            "telephone_number": "918-574-2575",
            "fax_number": "918-340-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RYAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OK",
            "license": "PT2783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; 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.