Individual provider Active NPI

Farrah E Smith, PT

  • Orthopedic Physical Therapist
  • Grand Prairie, TX
National Provider Identifier
1023025483
Registry record updated Jun 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1146531 Issued in TX
Practice address
3824 S Carrier Pkwy
Suite 470
Grand Prairie, TX 75052-6644
Phone
(972) 262-9972
Fax
(972) 262-9986
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1146531 TX Primary

Addresses

Primary practice location

3824 S Carrier Pkwy
Suite 470
Grand Prairie, TX 75052-6644

Mailing address

4304 Mulligan Ave
Mansfield, TX 76063-3475
Phone (972) 262-9972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140821000118 TX Practitioner - Physical Therapist in Private Practice 5698993376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2000 FM
663 Suite 160
Midlothian, TX 76065-6559
Phone (469) 856-2476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1146531TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Green Oaks Physical Therapy Limited Partnership CurrentSince May 20, 2024 Accepting new patients
Green Oaks Physical Therapy Limited Partnership Orthopedic Current Accepting new patients
Crossroads Physical Therapy Limited Partnership Orthopedic Past Accepting new patients
Crossroads Physical Therapy Limited Partnership Orthopedic PastSince Aug 27, 2023 Accepting new patients

Locations

2710 N Josey Ln
Ste 301
Carrollton, TX 75007
Phone (214) 483-3550

3824 S Carrier Pkwy
Ste 470
Grand Prairie, TX 75052
Phone (972) 262-9972

3824 S Carrier Pkwy
Ste 490
Grand Prairie, TX 75052
Phone (972) 262-9972

2000 FM 663
Ste 160
Midlothian, TX 76065
Phone (469) 856-2476

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403395200000",
    "number": "1023025483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 MULLIGAN AVE",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633475",
            "telephone_number": "972-262-9972",
            "fax_number": "972-262-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 S CARRIER PKWY",
            "address_2": "SUITE 470",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750526644",
            "telephone_number": "972-262-9972",
            "fax_number": "972-262-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "FARRAH",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1146531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.