IndividualActive
Jason Smith
NPI 1174633713 · Physical Therapist · Glendale, AZ
Provider details
- NPI number
- 1174633713
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 6742 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18561 N 59th Ave Ste 117
Glendale, AZ 85308-1256
Phone: (623) 322-0654
Fax: (623) 322-0664
Street-level locationGet directions
Mailing address
15681 N 29th St
Phoenix, AZ 85032-3726
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.