Individual provider Active NPI

Francis J Smith Jr., PT

  • Physical Therapist
  • Aqoura Hills, CA
National Provider Identifier
1962506071
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 9134 Issued in CA
Practice address
29525 Canwood Street # 113
Aqoura Hills, CA 91301-4230
Phone
(818) 707-2182
Fax
(818) 707-4236
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT 9134 CA Primary

Addresses

Primary practice location

29525 Canwood Street # 113
Aqoura Hills, CA 91301-4230

Mailing address

29525 Canwood Street # 113
Aqoura Hills, CA 91301-4230
Phone (818) 707-2182

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140812002635 CA Practitioner - Physical Therapist in Private Practice 9537348974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zeolla Physical Therapy IncGroup PAC ID 8224292776, 5 clinicians

Practice addresses (Care Compare)

5927 Kanan Rd
Agoura Hills, CA 91301-1688
Phone (818) 889-0158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PT 9134CAMDPhysical Therapist
9134CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Zeolla Physical Therapy Inc Physical Therapist CurrentSince Jan 29, 2024 Accepting new patients
Kambic Smith, Partners Past Accepting new patients

Locations

5927 Kanan Rd
Agoura Hills, CA 91301
Phone (818) 889-0158

Organizations & group practices 2

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962506071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29525 CANWOOD STREET # 113",
            "city": "AQOURA HILLS",
            "state": "CA",
            "postal_code": "913014230",
            "telephone_number": "818-707-2182",
            "fax_number": "818-707-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29525 CANWOOD STREET # 113",
            "city": "AQOURA HILLS",
            "state": "CA",
            "postal_code": "913014230",
            "telephone_number": "818-707-2182",
            "fax_number": "818-707-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "FRANCIS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 9134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.