Individual provider Active NPI

Sydney Smith

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1699323592
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30795 Issued in AZ
Practice address
755 E McDowell Rd FL 1
Phoenix, AZ 85006-2506
Phone
(480) 210-6556
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P19912 NC
Physical Therapist 225100000X 30795 AZ Primary

Addresses

Primary practice location

755 E McDowell Rd FL 1
Phoenix, AZ 85006-2506

Mailing address

7525 Secluded Acres Rd
Apex, NC 27523-8521
Phone (503) 559-4301

Other practice location 1

1400 Timber Dr E Ste 214
Garner, NC 27529-6925
Phone (919) 661-2482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30795AZMDOphthalmology Physician
P19912NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC PastSince Jan 7, 2024 Accepting new patients
Rex Healthcare PastSince Feb 1, 2021 Accepting new patients
BHSM Rehabilitation, LLC PastSince Jan 7, 2024 Accepting new patients
BHSM Rehabilitation, LLC Past Accepting new patients
BHSM Rehabilitation, LLC Past Accepting new patients

Organizations & group practices 5

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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1699323592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 SECLUDED ACRES RD",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275238521",
            "telephone_number": "503-559-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E MCDOWELL RD FL 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062506",
            "telephone_number": "480-210-6556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Timber Dr E Ste 214",
            "address_purpose": "LOCATION",
            "city": "Garner",
            "state": "NC",
            "postal_code": "275296925",
            "country_code": "US",
            "telephone_number": "919-661-2482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SYDNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19912",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "30795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.