THEODORE JAMES SMITH DPT
NPI 1649880758
Physical Therapist in Upper Arlington, OH

Active since August 04, 2020Accepts Medicare Assignment
86.55/100
CMS Quality Rating
4605 SAWMILL RD, UPPER ARLINGTON, OH 43220(614) 827-8700(614) 827-8701 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theodore James Smith Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE JAMES SMITH DPT (NPI 1649880758) is an individual physical therapist in Upper Arlington, Ohio, licensed in Ohio (PT012879) and active in the NPI registry since August 2020. He is a graduate of Other (2010).

NPPES Registry Identity

NPI1649880758
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameTHEODORE JAMES SMITHCredential: DPT
Location Address4605 SAWMILL RDUpper Arlington, OH 43220-2246
Mailing Address340 Polaris PkwyWesterville, OH 43082-7971 · (614) 545-7900 · Fax (614) 545-7901
Fax(614) 827-8701
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 4, 2020
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
NPI 1649880758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in OH · PT012879
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
4605 SAWMILL RD, Upper Arlington, OH 43220

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Theodore James Smith Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466878525
PECOS Enrollment IDI20200819003026

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,611 services115 patients
Application of blood vessel compression device 97016
A blood vessel compression device is applied to control bleeding and promote clotting after a procedure. This device applies pressure to your blood vessels, reducing the chance of excessive bleeding. It's a safe, standard part of many medical procedures.
630 services62 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
365 services102 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
58 services58 patients
Re-evaluation for physical therapy, typically 20 minutes 97164
A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.
36 services36 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.58
Promoting Interoperability98
Improvement Activities40
Cost75.27

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery (Hand Surgery)
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220
Physical Therapist
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220
Physical Therapist
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220
Physician Assistant
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220
Physical Therapist
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220
Occupational Therapist
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220
Physician Assistant (Surgical)
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Smith's NPI number?

The NPI number for Theodore Smith is 1649880758. It was assigned to this individual provider in the NPPES registry on August 4, 2020.

Where is Theodore Smith located?

Theodore Smith practices at 4605 Sawmill Rd, Upper Arlington, OH 43220. The listed phone number is (614) 827-8700.

What is Theodore Smith's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Theodore Smith enrolled in Medicare?

Yes. Theodore Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theodore Smith accept?

Health plans from MedMutual list Theodore Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore Smith was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.