Individual provider Active NPI

Aubrey Chase Smith, DPT

  • Orthopedic Physical Therapist
  • Mount Vernon, WA
National Provider Identifier
1891344180
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT60983747 Issued in WA
Practice address
2226 Market St Ste C
Mount Vernon, WA 98273-5451
Phone
(360) 428-6677
Fax
(360) 428-7635
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT60983747 WA Primary

Addresses

Primary practice location

2226 Market St Ste C
Mount Vernon, WA 98273-5451

Mailing address

PO Box 1789
Mount Vernon, WA 98273-1789
Phone (360) 428-6677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200218001892 WA Practitioner - Physical Therapist in Private Practice 5597192278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Washington School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blanchard Mountain Physical Therapy PLLCGroup PAC ID 5890232441, 3 clinicians

Practice addresses (Care Compare)

2226 Market St
Suite C
Mount Vernon, WA 98273-5451
Phone (360) 840-2472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60983747WAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blanchard Mountain Physical Therapy PLLC Orthopedic CurrentSince Jun 1, 2024 Accepting new patients

Locations

2226 Market St
Ste C
Mount Vernon, WA 98273
Phone (360) 428-6677

Organizations & group practices 1

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1891344180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1789",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982731789",
            "telephone_number": "360-428-6677",
            "fax_number": "360-428-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 MARKET ST STE C",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735451",
            "telephone_number": "360-428-6677",
            "fax_number": "360-428-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AUBREY",
        "middle_name": "CHASE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT60983747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.