Miriah Smith, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT016255 Issued in GA

Practice address

351 Thornton Rd Ste 125
Lithia Springs, GA 30122-1589

Phone

(770) 577-0399

NPI assigned

Sep 13, 2022

Last updated

Sep 13, 2022By the provider in NPPES

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)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tailored Occupational Therapy LLC

  • Specialist
  • Lithia Springs, GA
  • NPI 1265500243
  NPD

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1053033548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 THORNTON RD STE 125",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301221589",
            "telephone_number": "770-577-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 THORNTON RD STE 125",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301221589",
            "telephone_number": "770-577-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MIRIAH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT016255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zach Slotterback, PHARMACIST
• Adria Smith
• Deanna Smith, LCSW
• James Keith Smith, D.M.D.
• Mary Smith
• Tasila Smith, BSN,RN
• Soaring Educators Inc,
• Southern RX LLC (Lithia Springs Pharmacy)
• Southern RX LLC (Lithia Springs Pharmacy)
• Spectrum Health Services

• Pediatric Physical Therapist in Lithia Springs, GA
• Providers in Lithia Springs, GA by specialty
• Pediatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.