Alyssa T Smith, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1352212 Issued in TX

Practice address

3202 4TH St Ste 101
Longview, TX 75605-5218

Phone

(903) 753-6635

Fax

(903) 753-1114

NPI assigned

Oct 15, 2021

Sex

Female

Sole proprietor

Yes

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 TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Longview Outpatient Physical Therapy LLCGroup PAC ID 9931336070, 4 clinicians

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.

• Longview Outpatient Physical Therapy LLC

  • Physical Therapist
  • Longview, TX
  • NPI 1730517004
  Medicare reassignment Care Compare group NPD
• Pain Managment Joint Venture LLP

  • Physical Therapist
  • Longview, TX
  • NPI 1871540971
  NPD (past)

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1003579202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5360",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756085360",
            "telephone_number": "903-753-6635",
            "fax_number": "903-753-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 4TH ST STE 101",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055218",
            "telephone_number": "903-753-6635",
            "fax_number": "903-753-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALYSSA",
        "middle_name": "T",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1352212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smiles of Tomorrow
• Amber Smiley, PTA
• Alan Gene Smith, OTR
• Alex Jason Smith, MD
• Alexandra Wisdom Smith, APRN, PMHNP-BC
• Carlton Smith, LCDC
• Christina Renee Smith
• Delisa Christine Smith, LCSW
• Jennifer Nicole Smith, DDS
• Malia Smith

• Physical Therapist in Longview, TX
• Providers in Longview, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.