Individual provider Active NPI

Ashley Ranelle Smith, DPT, COMT, BS, CSCS

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1942503115
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60221941
Practice address
2206 Queen Anne Ave N
Suite 202
Seattle, WA 98109-2370
Phone
(206) 946-6655
Fax
(206) 946-6656
NPI assigned
Dec 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 033344 NY
Physical Therapist 225100000X PT60221941 Primary

Addresses

Primary practice location

2206 Queen Anne Ave N
Suite 202
Seattle, WA 98109-2370

Mailing address

2206 Queen Anne Ave N
Suite 202
Seattle, WA 98109-2370
Phone (206) 946-6655

Other identifiers 1

IdentifierTypeStateIssuer
G8928181OtherWAMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111021000201 WA Practitioner - Physical Therapist in Private Practice 4486826278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seattle'S Elite Physical Therapy, IncGroup PAC ID 3375767619, 6 clinicians

Practice addresses (Care Compare)

1521 Queen Anne Ave N
Seattle, WA 98109-3160
Phone (206) 946-6655

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
033344NYMDPharmacotherapy Pharmacist

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": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1942503115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 QUEEN ANNE AVE N",
            "address_2": "SUITE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092370",
            "telephone_number": "206-946-6655",
            "fax_number": "206-946-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 QUEEN ANNE AVE N",
            "address_2": "SUITE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092370",
            "telephone_number": "206-946-6655",
            "fax_number": "206-946-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ASHLEY",
        "middle_name": "RANELLE",
        "name_prefix": "Dr.",
        "credential": "DPT, COMT, BS, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-10",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033344",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "PT60221941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G8928181",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.