Individual provider Active NPI

Gary T Smith, MS, PT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1881675874
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3899 Issued in AZ
Practice address
3602 E Greenway Rd
Ste 106
Phoenix, AZ 85032-4648
Phone
(602) 643-0300
Fax
(602) 643-0038
NPI assigned
Nov 8, 2005
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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 3899 AZ Primary

Addresses

Primary practice location

3602 E Greenway Rd
Ste 106
Phoenix, AZ 85032-4648

Mailing address

2919 S Ellsworth Rd
Ste 135
Mesa, AZ 85212-2168
Phone (480) 967-6888

Other identifiers 1

IdentifierTypeStateIssuer
497009MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100720001081 AZ Practitioner - Physical Therapist in Private Practice 9537144746 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2363 E Baseline Rd
Gilbert, AZ 85234-2357
Phone (480) 417-3688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Effort Spine and Wellness Physical Therapist CurrentSince Jul 22, 2025 Accepting new patients
George Wang,MD,LLC CurrentSince Jan 31, 2021 Accepting new patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Oct 22, 2023 Accepting new patients
Joint Effort Spine Rehabilitation, LLC Current Accepting new patients
George Wang,MD,LLC CurrentSince Jan 1, 2021 Accepting new patients
Smith Center for Rehabilitation, LLC Physical Therapist PastSince Jan 1, 2000 Accepting new patients

Locations

2363 E Baseline Rd
Gilbert, AZ 85234
Phone (480) 417-3688

4001 E Baseline Rd
Gilbert, AZ 85234
Phone (480) 926-6200

4001 E Baseline Rd
Ste 205
Gilbert, AZ 85234
Phone (480) 962-7510

2919 S Ellsworth Rd
Ste 135
Mesa, AZ 85212
Phone (480) 357-5780

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

9225 N 3rd St
Ste 300
Phoenix, AZ 85020
Phone (602) 870-1821

Interoperability endpoints

  • Direct secure messaging: gary.smith.p6@direct.athleticoltd.nextgenshare.com

Organizations & group practices 8

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1881675874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 S ELLSWORTH RD",
            "address_2": "STE 135",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122168",
            "telephone_number": "480-967-6888",
            "fax_number": "480-967-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 E GREENWAY RD",
            "address_2": "STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324648",
            "telephone_number": "602-643-0300",
            "fax_number": "602-643-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GARY",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497009",
            "state": "AZ"
        }
    ],
    "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 Feb 2, 2021; 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.