Individual provider Active NPI

Rebecca Lynne Smilie, P.T.

  • Physical Therapist
  • Alexandria, LA
National Provider Identifier
1669775805
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00657 Issued in LA
Practice address
3704 North Blvd Ste C
Alexandria, LA 71301-3658
Phone
(318) 473-2230
Fax
(318) 449-5579
NPI assigned
Dec 9, 2010
Last updated
Dec 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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 00657 LA Primary

Addresses

Primary practice location

3704 North Blvd Ste C
Alexandria, LA 71301-3658

Mailing address

3704 North Blvd Ste C
Alexandria, LA 71301-3658
Phone (318) 473-2230

Other names 1

  • Rebecca Lynn Mathews Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110228000853 LA Practitioner - Physical Therapist in Private Practice 0547441271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid State Orthopaedic and Sports Medicine Center LLCGroup PAC ID 6204892540, 27 clinicians

Practice addresses (Care Compare)

429 Rocky Bayou Dr
Suite a
Pineville, LA 71360-8133
Phone 31847395561329

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00657LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid State Orthopaedic & Sports Medicine Center, LLC Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Mid State Orthopaedic & Sports Medicine Center LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

224 Pecan Park Ave
Alexandria, LA 71303
Phone (318) 427-7900

224 Pecan Park Ave
Ste B
Alexandria, LA 71303
Phone (318) 427-7851

3351 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6800

3444 Masonic Dr
Alexandria, LA 71301
Phone (318) 441-8329

429 Rocky Bayou Dr
Pineville, LA 71360
Phone (318) 473-9556

429 Rocky Bayou Dr
Ste A
Pineville, LA 71360
Phone (318) 473-9556

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, 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": "1291852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1669775805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 NORTH BLVD STE C",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013658",
            "telephone_number": "318-473-2230",
            "fax_number": "318-449-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 NORTH BLVD STE C",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013658",
            "telephone_number": "318-473-2230",
            "fax_number": "318-449-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILIE",
        "first_name": "REBECCA",
        "middle_name": "LYNNE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "MATHEWS",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.