Shane Smith

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28915 Issued in FL

Practice address

1575 Pine Ridge Rd
Suite 15
Naples, FL 34109-2107

Phone

(239) 593-4348

Fax

(239) 593-4387

NPI assigned

Feb 10, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Naples Premier Physical Therapy Inc

  • Sports Physical Therapist
  • Naples, FL
  • NPI 1467970277
  Medicare reassignment NPD Authorized official
• Freedom Physical Therapy and Fitness, PLLC

  • Physical Therapist
  • Naples, FL
  • NPI 1750060760
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1982028072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 PINE RIDGE RD",
            "address_2": "SUITE 15",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092107",
            "telephone_number": "239-593-4348",
            "fax_number": "239-593-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 PINE RIDGE RD",
            "address_2": "SUITE 15",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092107",
            "telephone_number": "239-593-4348",
            "fax_number": "239-593-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT28915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela S Smith, M.S.
• Patrick A Smith, M.D.
• Poppy Smith
• Rebecca G Smith, MD
• Robin L Smith, M.D.
• Shannon Linette Smith, L.M.T.
• Stephen Patrick Smith, SA
• Steven E Smith, PSY.D., B.C.I.A.C
• Stewart Smith Jr., DPT
• Teresa M Smith, MSW, LCSW

• Physical Therapist in Naples, FL
• Providers in Naples, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.