Individual provider Active NPI

Dennis R. Smith, P.T., CHT

  • Hand Physical Therapist
  • Vista, CA
National Provider Identifier
1699724054
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Physical TherapistTaxonomy code 2251H1200X
License
PT22171 Issued in CA
Practice address
2067 W Vista Way
Ste. 185
Vista, CA 92083-6031
Phone
(760) 631-5888
Fax
(760) 637-5880
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Physical Therapist 2251H1200X PT22171 CA Primary

Addresses

Primary practice location

2067 W Vista Way
Ste. 185
Vista, CA 92083-6031

Mailing address

3070 Madison St
Carlsbad, CA 92008-2310
Phone (760) 591-7750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211216002282 MT Practitioner - Physical Therapist in Private Practice 6800061086 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT22171CAMDHand Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Peak Physical Therapy Inc Hand CurrentSince Nov 29, 2021 Accepting new patients
Billings Clinic CurrentSince Sep 26, 2022 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Sep 26, 2022 Accepting new patients
Lone Peak Physical Therapy Inc. Hand CurrentSince Nov 29, 2021 Accepting new patients
Billings Clinic Past Accepting new patients
Barbara Jean Boutelle Carlsbad Physical Therapy Hand Past Accepting new patients

Locations

312 W Main St
Ste 1
Belgrade, MT 59714
Phone (406) 388-2235

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

630 Boardwalk Ave
Ste 1
Bozeman, MT 59718
Phone (406) 548-6266

3901 Wellness Way
Bozeman, MT 59718
Phone (406) 898-1200

3905 Wellness Way
Bozeman, MT 59718
Phone (406) 587-9202

Organizations & group practices 7

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1699724054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 MADISON ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082310",
            "telephone_number": "760-591-7750",
            "fax_number": "760-294-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2067 W VISTA WAY",
            "address_2": "STE. 185",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836031",
            "telephone_number": "760-631-5888",
            "fax_number": "760-637-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DENNIS",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "P.T., CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "CA",
            "license": "PT22171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.