Individual provider Active NPI

Sawyer R Smith, DPT

  • Physical Therapist
  • Wasilla, AK
National Provider Identifier
1780371773
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
6701 W Blondell Drive
Wasilla, AK 99623
Phone
(907) 357-9755
NPI assigned
Apr 19, 2023
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 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 227216 AK
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

6701 W Blondell Drive
Wasilla, AK 99623

Mailing address

6701 West Blondell Drive
Wasilla, AK 99623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ME, AK3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230613000663 WA Practitioner - Physical Therapist in Private Practice 5597122119 Reassigns benefits to 1 organization
I20240321003029 ME Practitioner - Physical Therapist in Private Practice 5597122119 Reassigns benefits to 1 organization
I20241004000368 AK Practitioner - Physical Therapist in Private Practice 5597122119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

6701 W Blondell Dr
Wasilla, AK 99623-0820
Phone (907) 357-9755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince Sep 9, 2024 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc CurrentSince Mar 11, 2024 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc Physical Therapist Current Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince Mar 11, 2024 Accepting new patients
Multicare Health System CurrentSince May 24, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Sep 9, 2024 Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Current Accepting new patients
Multicare Health System Physical Therapist CurrentSince May 24, 2023 Accepting new patients

Locations

312 Mayville Rd
Ste 2
Bethel, ME 04217
Phone (207) 507-3050

400 North St
#2
Saco, ME 04072
Phone (207) 282-7121

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

6704 Tacoma Mall Blvd
Ste 100
Tacoma, WA 98409
Phone (253) 475-4870

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1780371773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 WEST BLONDELL DRIVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 W BLONDELL DRIVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99623",
            "telephone_number": "907-357-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SAWYER",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-19",
        "last_updated": "2024-10-16",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "227216",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.