Active NPI
Francis J Smith Jr., PT
- Physical Therapist
- Aqoura Hills, CA
National Provider Identifier
1962506071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 9134
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 9134 | CA | MD | Physical Therapist |
| 9134 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zeolla Physical Therapy Inc | Physical Therapist | Current | 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.
-
dba Agoura Hills Physical Therapy
- Physical Therapist
- Agoura Hills, CA
- NPI 1679694798
-
dba canwood family physical therapy
- Physical Therapy Clinic/Center
- Agoura Hills, CA
- NPI 1881854073
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.