✓ Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist (225100000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

SARAH SMITH, DPT (NPI #1962013599)

Physical Therapist • VICTOR, ID • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1962013599
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
225100000X (CMS 65)
Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
Box 32 Service Location & ZIP+4
73 N MAIN STREET, VICTOR, ID, 83455
Official NPPES Practice Location
Practice Phone & Referral Fax
Fax: (208) 787-0946
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1962013599 (SARAH SMITH, DPT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1962013599 (NPI-1 Individual Practitioner)
Provider / Legal NameSARAH SMITH, DPT
Plain-English SpecialtyLicensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
NUCC Code: 225100000X (Physical Therapist)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address73 N MAIN STREET, VICTOR, ID, 83455
Practice Telephone / FaxTel: (208) 787-6900 | Fax: (208) 787-0946
Administrative Mailing Address485 W 7750 N, TETONIA, ID, 83452-1213
Enumeration & Last SyncEnumerated: 2020-08-17 | CMS Record Updated: 2020-08-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

73 N MAIN STREET, VICTOR, ID, 83455

🗺️ Open in Google Maps 🏥 More Providers in VICTOR

Plain-English Taxonomy & CMS Crosswalk (225100000X)

What Does Taxonomy Code 225100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225100000X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 65 (Physical Therapist in Private Practice)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physical Therapist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SARAH SMITH, DPT)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
225100000X — Physical Therapist
Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
State: ID | License: PT-6984 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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