Brooke McKinley Smith, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3133396 Issued in TX

Practice address

10233 E Northwest Hwy Ste 410
Dallas, TX 75238-4430

Phone

(469) 221-9203

NPI assigned

Jun 12, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Vista Physical Therapy LLC

  • Multi-Specialty Clinic/Center
  • Denton, TX
  • NPI 1699410555

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1043052764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4603 O CONNOR CT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623740",
            "telephone_number": "214-755-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10233 E NORTHWEST HWY STE 410",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752384430",
            "telephone_number": "469-221-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BROOKE",
        "middle_name": "MCKINLEY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3133396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Sue Smith
• Barretta Leanne Smith
• Benjamin Carl Smith
• Bertram L Smith III, MD
• Bradley Gene Smith, MS, CCC-SLP
• Bruce Allen Smith, M.D.
• Brynn Smith
• Callen Weaver Smith, PT, DPT
• Cara Elizabeth Smith, PT
• Carmen Princele Smith, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.