Individual provider Active NPI

Seth D Smothers, RPT

  • Physical Therapist
  • Addison, AL
National Provider Identifier
1043374275
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH4006 Issued in AL
Practice address
30510 Highway 278
Addison, AL 35540-2139
Phone
(256) 338-6230
NPI assigned
Dec 21, 2006
Last updated
Jun 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH4006 AL Primary

Addresses

Primary practice location

30510 Highway 278
Addison, AL 35540-2139

Mailing address

PO Box 155
Addison, AL 35540-0155
Phone (256) 338-6230

Other identifiers 1

IdentifierTypeStateIssuer
PTH4006OtherALPHYSICAL THERAPY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191028000440 AL Practitioner - Physical Therapist in Private Practice 7911239850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of South Alabama College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30510 Hwy 278
Addison, AL 35540-2139
Phone (256) 841-1556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Addison Physical Therapy Physical Therapist CurrentSince Jul 31, 2019 Accepting new patients

Locations

30510 Highway 278
Addison, AL 35540
Phone (256) 338-6230

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lakeland Community Hospital IncHaleyville, AL, CCN 011311 Hospital Corporate Director (14.29%) Dec 1, 2023
Lakeland Community Hospital, IncHaleyville, AL, CCN 01Z311 Hospital Corporate Director (14.29%) Dec 1, 2023
Northwest Home Health-HaleyvilleHaleyville, AL, CCN 017109 Home health agency Corporate Director (14.29%) Dec 1, 2023
Lakeland Community Hospital IncHaleyville, AL, CCN 013477 Rural health clinic Corporate Director (14.29%) Dec 1, 2023

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1043374275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "ADDISON",
            "state": "AL",
            "postal_code": "355400155",
            "telephone_number": "256-338-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30510 HIGHWAY 278",
            "city": "ADDISON",
            "state": "AL",
            "postal_code": "355402139",
            "telephone_number": "256-338-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOTHERS",
        "first_name": "SETH",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PTH4006",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, AL

Sources for this page

Verify at the official NPI Registry.