Jason Richard Smith, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60568247 Issued in WA

Practice address

300 E College Way Ste B
Mount Vernon, WA 98273-5429

Phone

(360) 428-6677

Fax

(360) 428-7635

NPI assigned

Sep 1, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Washington School of Medicine, 2015

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)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Blanchard Mountain Physical Therapy PLLC

  • Physical Therapist
  • Mount Vernon, WA
  • NPI 1801642871
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1902273394",
    "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": "300 E COLLEGE WAY STE B",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735429",
            "telephone_number": "360-428-6677",
            "fax_number": "360-428-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JASON",
        "middle_name": "RICHARD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60568247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Reynolds Small, MSW, LICSW
• Aubrey Chase Smith, DPT
• Cathy Ann Smith, ARNP
• Colter Robert Smith, MS, LMHCA
• Jacqueline Michelle Smith, OTA/L
• Jay Arthur Smith, P.T.
• Julie E Smith, LM, CPM
• Kalifornia Smith
• Kara Smith, MSW, LSWAIC
• Mallorie K Smith, AUD

• Physical Therapist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.