Individual provider Active NPI

Sharae Smith, PT, DPT

  • Physical Therapist
  • Arlington, TX
National Provider Identifier
1962072686
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1349041 Issued in TX
Practice address
520 Fielder North PLZ
Arlington, TX 76012-2309
Phone
(817) 461-4257
Fax
(817) 461-4865
NPI assigned
Jun 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1349041 TX Primary

Addresses

Primary practice location

520 Fielder North PLZ
Arlington, TX 76012-2309

Mailing address

520 Fielder North PLZ
Arlington, TX 76012-2309
Phone (817) 461-4257

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230324001284 TX Practitioner - Physical Therapist in Private Practice 8921472440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista JV Partners LLCGroup PAC ID 3274998224, 126 clinicians

Practice addresses (Care Compare)

331 Las Colinas Blvd E
Irving, TX 75039-5556
Phone (972) 401-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1349041TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vista JV Partners LLC Physical Therapist CurrentSince Apr 4, 2023 Accepting new patients
Vista Rehab Partners LP Physical Therapist Past Accepting new patients

Locations

3535 Travis St
Ste 160
Dallas, TX 75204
Phone (214) 346-9105

12228 N Central Expy
Ste 300
Dallas, TX 75243
Phone (469) 706-3760

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

3055 Bardin Rd
Ste 200
Grand Prairie, TX 75052
Phone (972) 522-2200

2401 Ira E Woods Ave
Ste 100
Grapevine, TX 76051
Phone (817) 310-3736

331 Las Colinas Blvd E
Irving, TX 75039
Phone (972) 256-7114

6750 N MacArthur Blvd
Ste 102
Irving, TX 75039
Phone (945) 212-0030

6060 Rocky Point Trl
Ste 100
Lake Worth, TX 76135
Phone (682) 289-9840

Organizations & group practices 3

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": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1962072686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 FIELDER NORTH PLZ",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122309",
            "telephone_number": "817-461-4257",
            "fax_number": "817-461-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 FIELDER NORTH PLZ",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122309",
            "telephone_number": "817-461-4257",
            "fax_number": "817-461-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHARAE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1349041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.