Individual provider Active NPI

Kelli Patrice Smith, P.T

  • Orthopedic Physical Therapist
  • San Antonio, TX
National Provider Identifier
1942313457
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3101920 Issued in TX
Practice address
150 E. Sonterra Blvd
Suite 300
San Antonio, TX 78258
Phone
(210) 489-7270
Fax
(210) 403-2445
NPI assigned
Aug 17, 2006
Last updated
Oct 26, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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 3101920 TX Primary

Addresses

Primary practice location

150 E. Sonterra Blvd
Suite 300
San Antonio, TX 78258

Mailing address

150 E. Sonterra Blvd
Suite 300
San Antonio, TX 78258
Phone (210) 489-7270

Other identifiers 2

IdentifierTypeStateIssuer
7419883OtherAETNA
8T6673OtherBCBS OF TEXAS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060926000525 TX Practitioner - Physical Therapist in Private Practice 7618972639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19138 US Hwy 281 N
San Antonio, TX 78258-4988
Phone (210) 804-5400

Merit-based Incentive Payment System (MIPS)

Final score
79.86 of 100Reported as group
Quality
65.93
Promoting interoperability
94
Improvement activities
40
Cost
71.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3101920TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The San Antonio Orthopaedic Group, LLP CurrentSince Sep 1, 2006 Accepting new patients
The San Antonio Orthopaedic Group, LLP Orthopedic CurrentSince Sep 1, 2006 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients
The San Antonio Orthopaedic Group, LLP Orthopedic Past Accepting new patients

Locations

1200 Brooklyn Ave
Ste 320
San Antonio, TX 78212
Phone (210) 225-5741

150 E Sonterra Blvd
Ste 300
San Antonio, TX 78258
Phone (210) 489-7270

19138 US Highway 281 N
San Antonio, TX 78258
Phone (210) 253-2660

19138 US Highway 281 N
Ste 200
San Antonio, TX 78258
Phone (210) 489-7270

400 Concord Plaza Dr
Ste 300
San Antonio, TX 78216
Phone (210) 804-5416

Interoperability endpoints

  • Direct secure messaging: kelli.smith.pt.1@94.direct.athenahealth.com

Organizations & group practices 4

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1942313457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E. SONTERRA BLVD",
            "address_2": "SUITE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-489-7270",
            "fax_number": "210-403-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E. SONTERRA BLVD",
            "address_2": "SUITE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-489-7270",
            "fax_number": "210-403-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELLI",
        "middle_name": "PATRICE",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "3101920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7419883",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8T6673",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.