Michael Loren Smith, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11702 Issued in NC

Practice address

2808 McLamb PL
Goldsboro, NC 27534-1600

Phone

(919) 736-2157

Fax

(919) 580-0424

NPI assigned

Jul 23, 2008

Sex

Male

Sole proprietor

Yes

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

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Brody School of Medicine at East Carolina University, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Activcare Physical Therapy, LLCGroup PAC ID 8628027471, 126 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.67 of 100Reported as group

Quality

85.21

Promoting interoperability

99

Improvement activities

40

Cost

77.85

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.smith.p12@direct.athleticoltd.nextgenshare.com

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.

• Activcare Physical Therapy, LLC

  • Clinic/Center
  • Raleigh, NC
  • NPI 1548409626

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1124283783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 MCLAMB PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341600",
            "telephone_number": "919-736-2157",
            "fax_number": "919-580-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 MCLAMB PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341600",
            "telephone_number": "919-736-2157",
            "fax_number": "919-580-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "LOREN",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberlin Smith
• Lisa B Smith, COTA/L
• Lloyd Hamlin Smith, M. D.
• Lorice Grady Smith, LIP/LPC-A/LCAS-A/LRT
• Melissa Taylor Smith, NP-C
• Passion Smith
• Stephanus Christiaan Smith, RPH
• Vernetta Lugene Smith, LPC
• Wanda D Smith, COF,CMF
• Dylan Douglas Smitka, DC

• Physical Therapist in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.