Active NPI
Robert Smith
- Speech-Language Assistant
- Buckeye, AZ
National Provider Identifier
1962734863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 6498
- Practice address
- 19871 W Freemont Rd
Buckeye, AZ 85326-9512 - Phone
- (623) 474-6671
- NPI assigned
- Feb 3, 2010
- Last updated
- Feb 5, 2010
- 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 |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 6498 | AZ | Primary |
Addresses
Primary practice location
19871 W Freemont Rd
Buckeye, AZ 85326-9512
Mailing address
7638 W Orangewood Ave
Glendale, AZ 85303-1517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6498 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay4Kidz, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Theracare PLLC | Speech-Language Pathologist | Current | Accepting new patients |
| Arion Care Solutions, LLC | Past | Accepting new patients | |
| Heartland Therapy, Inc. | Past | Accepting new patients |
Locations
530 E McDowell Rd
Ste 107495
Phoenix, AZ 85004
9525 E Doubletree Ranch Rd
Ste 101
Scottsdale, AZ 85258
Phone (480) 488-3946
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.
-
dba Arizona Autism
- Occupational Therapist
- Scottsdale, AZ
- NPI 1750727798
Speech-Language Pathologist
-
- Home Health Agency
- Mesa, AZ
- NPI 1962552547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265328000000",
"number": "1962734863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7638 W ORANGEWOOD AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853031517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19871 W FREEMONT RD",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853269512",
"telephone_number": "623-474-6671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-03",
"last_updated": "2010-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "6498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buckeye, AZ
- Smi Imaging LLC (Simonmed Imaging)
- Austin L Smith, MD
- David Alan Smith, RN
- Elizabeth Denise Smith, RN
- Kristina Smith
- Terry Neil Smith
- Smith's Food & Drug Centers Inc (Fry's Pharmacy #692)
- Smiths Food & Drug Centers Inc (Frys Food and Drug)
- Smiths Food & Drug Centers Inc (Fry's Pharmacy #654)
- Abigail Solorio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.