Active NPI
Tori Pou, DPT
- Pediatric Physical Therapist
- Gainesville, GA
National Provider Identifier
1053543678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT009706
- Practice address
- 500 Spring St SE Ste 101
Gainesville, GA 30501-3773 - Phone
- (770) 615-7676
- NPI assigned
- Aug 14, 2009
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT009706 | GA | Primary |
Addresses
Primary practice location
500 Spring St SE Ste 101
Gainesville, GA 30501-3773
Mailing address
601 Fairmont Park Dr
Dacula, GA 30019
Phone (803) 215-2117
Other practice location 1
545 Old Norcross Rd
Suite 100
Lawrenceville, GA 30046-3389
Phone (678) 377-2833 ext. 216
Other names 1
- Tori Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT009706 | GA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifting Spirits Therapy Services, Inc | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatric Occupational Therapist
- Gainesville, GA
- NPI 1083891907
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1053543678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 FAIRMONT PARK DR",
"city": "DACULA",
"state": "GA",
"postal_code": "30019",
"telephone_number": "803-215-2117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SPRING ST SE STE 101",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013773",
"telephone_number": "770-615-7676"
}
],
"practiceLocations": [
{
"address_1": "545 Old Norcross Rd",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300463389",
"country_code": "US",
"telephone_number": "678-377-2833 x216",
"fax_number": "678-377-2882",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POU",
"first_name": "TORI",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "GA",
"license": "PT009706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TORI",
"last_name": "SMITH",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.