Brandon J Smith, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3530 Issued in NE

Practice address

701 4TH Ave
Suite #1
Holdrege, NE 68949-2255

Phone

(308) 248-0303

Fax

(308) 248-0304

NPI assigned

Nov 17, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holdrege Physical Therapy and Sports RehabGroup PAC ID 4082090931, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Holdrege Physical Therapy and Sports Rehab

  • Physical Therapist
  • Holdrege, NE
  • NPI 1508586538
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1780058693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 4TH AVE",
            "address_2": "SUITE #1",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689492255",
            "telephone_number": "308-248-0303",
            "fax_number": "308-248-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 4TH AVE",
            "address_2": "SUITE #1",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689492255",
            "telephone_number": "308-248-0303",
            "fax_number": "308-248-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRANDON",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-17",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Anne Scarrow
• Lynse Linete Schmidt
• Miranda Sheets
• Shopko Stores Operating Co LLC (Shopko Pharmacy 690)
• Krystin Skeen
• Jill R Smith, DDS
• Kayla C Smith
• Shane Michael Smith, M.D.
• Susanne M Smith
• Thomas Ballenger Smith, M.D.

• Physical Therapist in Holdrege, NE
• Providers in Holdrege, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.