Active NPI
Olivia Smith
- Physical Therapist
- Orange, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP049084T
- Practice address
- 209 N Madison Rd
Orange, VA 22960-1205 - Phone
- (540) 672-2708
- Fax
- (540) 672-2709
- NPI assigned
- Aug 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP032231T | WA | |
| Physical Therapist | 225100000X | 232752 | AK | |
| Physical Therapist | 225100000X | CP051613T | MD | |
| Physical Therapist | 225100000X | CP049084T | VA | Primary |
| Physical Therapist | 225100000X | 2684 | ND |
Addresses
Primary practice location
209 N Madison Rd
Orange, VA 22960-1205
Mailing address
PO Box 412307
Boston, MA 02241-2307
Phone (914) 294-4050
Other practice location 1
736 Broadway N
Fargo, ND 58102-4421
Phone (701) 234-5932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, VA, MN
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
138 Stoneridge Dr N
Suite 4
Ruckersville, VA 22968-3063
Phone (434) 985-2288
3890 University Lake Dr
Suite 110
Anchorage, AK 99508-4669
Phone (907) 249-5548
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP051613T | MD | MD | Physical Therapist |
| CP032231T | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthoalaska, LLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Sept, LLC | Physical Therapist | Current | Accepting new patients |
| Anchorage Surgicenter, LLC | Current | Accepting new patients | |
| Orthoalaska LLC | Current | Accepting new patients | |
| Ivyrehab Sept, LLC | Physical Therapist | Current | Accepting new patients |
| Orthoalaska LLC | Past | Accepting new patients |
Locations
3890 University Lake Dr
Ste 110
Anchorage, AK 99508
Phone (907) 249-5542
3801 Lake Otis Pkwy
Ste 300
Anchorage, AK 99508
Phone (907) 341-5238
2250 E 42nd Ave
#200
Anchorage, AK 99508
Phone (907) 569-3668
13015 Old Glenn Hwy
Ste 100
Eagle River, AK 99577
3125 E Meridian Park Loop
Ste 300
Wasilla, AK 99654
Phone (907) 357-2267
2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000
209 N Madison Rd
Orange, VA 22960
Phone (540) 672-2708
138 Stoneridge Dr N
Ste 4
Ruckersville, VA 22968
Phone (434) 985-2288
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- olivia.smith.p1@direct.opaak.nextgenshare.com
Organizations & group practices 8
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.
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1982657433
-
- Rural Health Clinic/Center
- Wadena, MN
- NPI 1134305162
-
- Critical Access Hospital
- Wadena, MN
- NPI 1477545333
-
- Physical Medicine & Rehabilitation Physician
- Verona, VA
- NPI 1235955709
Physical Therapist
-
- Ambulatory Surgical Clinic/Center
- Anchorage, AK
- NPI 1144612714
-
- Durable Medical Equipment & Medical Supplies
- Wasilla, AK
- NPI 1528937570
-
- Rheumatology Physician
- Anchorage, AK
- NPI 1265293252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1679356950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 412307",
"city": "BOSTON",
"state": "MA",
"postal_code": "022412307",
"telephone_number": "914-294-4050",
"fax_number": "631-760-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 N MADISON RD",
"city": "ORANGE",
"state": "VA",
"postal_code": "229601205",
"telephone_number": "540-672-2708",
"fax_number": "540-672-2709"
}
],
"practiceLocations": [
{
"address_1": "736 Broadway N",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581024421",
"country_code": "US",
"telephone_number": "701-234-5932",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "OLIVIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-18",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "CP032231T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "232752",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "CP051613T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "CP049084T",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "2684",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.