Individual provider Active NPI

Jeffrey Howard Smaller, PT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1821290016
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0032661 Issued in NY
Practice address
4707 Bedford Ave
Brooklyn, NY 11235-2607
Phone
(718) 743-6373
Fax
(718) 743-6373
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0032661 NY Primary

Addresses

Primary practice location

4707 Bedford Ave
Brooklyn, NY 11235-2607

Mailing address

4707 Bedford Ave
Brooklyn, NY 11235-2607
Phone (718) 743-6373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150825004611 NY Practitioner - Physical Therapist in Private Practice 2961718739 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0032661NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Priority One Therapy PT OT SLP PLLC CurrentSince Apr 24, 2016 Accepting new patients
Lifespire, Inc. CurrentSince Jun 23, 2015 Accepting new patients
Lifespire, Inc. CurrentSince Jun 23, 2015 Accepting new patients

Locations

21301 Northern Blvd
Fl 2
Bayside, NY 11361
Phone (718) 721-5444

159 E 125th St
Fl 2
New York, NY 10035
Phone (212) 360-5600

99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190

Organizations & group practices 3

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821290016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352607",
            "telephone_number": "718-743-6373",
            "fax_number": "718-743-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352607",
            "telephone_number": "718-743-6373",
            "fax_number": "718-743-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLER",
        "first_name": "JEFFREY",
        "middle_name": "HOWARD",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0032661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.