Janelle M Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-015683 Issued in IL

Practice address

12337 S Route 59
Unit 107
Plainfield, IL 60585-4626

Phone

(815) 343-4152

NPI assigned

Apr 20, 2007

Last updated

Jul 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evolve Physical Therapy IncGroup PAC ID 6901289875, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evolve Physical Therapy Inc

  • Physical Therapist
  • Aurora, IL
  • NPI 1063167377
  Medicare reassignment Care Compare group NPD Authorized official
• Rock Valley Physical Therapy Center

  • Physical Therapist
  • Moline, IL
  • NPI 1245373166
  NPD (past)
• Rock Valley Physical Therapy Center

  • Occupational Therapist
  • Eldridge, IA
  • NPI 1881540490

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1891913562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 PALMER CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649741",
            "telephone_number": "815-343-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12337 S ROUTE 59",
            "address_2": "UNIT 107",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605854626",
            "telephone_number": "815-343-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JANELLE",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-015683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS PT LICENSE",
            "identifier": "070-015683",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charyl Lynn Smith, MA, LPC, NCC
• Christopher Robert Smith, D.C.
• Edward D Smith, PSY D
• Hannah Smith, MSPT
• Imani Smith
• Julie Smith
• Karen Lee Smith, PSY .D. LCPC
• Michael R Smith
• Nicholas Joseph Smith, L.P.C.
• Rebecca Smith

• Physical Therapist in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.