Individual provider Active NPI

Olivia Smith

  • Physical Therapist
  • Orange, VA
National Provider Identifier
1679356950
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP049084T Issued in VA
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

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, MN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250521001721 AK Practitioner - Physical Therapist in Private Practice 4486173614 Reassigns benefits to 1 organization
I20251201000709 VA Practitioner - Physical Therapist in Private Practice 4486173614 Reassigns benefits to 1 organization
I20260513001676 MN Practitioner - Physical Therapist in Private Practice 4486173614 Reassigns benefits to 2 organizations

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
Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians
Orthoalaska LLCGroup PAC ID 2961705520, 167 clinicians

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

LicenseStateTypeSpecialty
CP051613TMDMDPhysical Therapist
CP032231TWAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoalaska, LLC Physical Therapist Current Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Oct 1, 2025 Accepting new patients
Anchorage Surgicenter, LLC CurrentSince Mar 17, 2025 Accepting new patients
Orthoalaska LLC CurrentSince Mar 17, 2025 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Oct 1, 2025 Accepting new patients
Orthoalaska LLC PastSince Jan 21, 2024 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.