Teresa L Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 16583 Issued in FL

Practice address

207 Crystal Grove Blvd
Lutz, FL 33548-6409

Phone

(813) 848-0341

Fax

(813) 540-8271

NPI assigned

Dec 28, 2006

Last updated

Nov 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Teri Smith Other name

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.

• Family First Therapy Inc.

  • Speech-Language Pathologist
  • Lutz, FL
  • NPI 1760875678
  NPD

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1144386848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7706 W CRENSHAW ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152108",
            "telephone_number": "813-546-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 CRYSTAL GROVE BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335486409",
            "telephone_number": "813-848-0341",
            "fax_number": "813-540-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TERESA",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 16583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019246100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERI",
            "last_name": "SMITH",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Bradley Small, M.D.
• Smilecraft Dental Studio
• Brittany Smiley, LMHC
• Lindsey Smith, APRN
• Matthew Ryan Smith, PA-C
• Winston O'Brian Smith
• Smyfl LLC
• Coralie Snelson, ED.S
• Nikki Sorgi, DO
• Alice Soto Garcia

• Physical Therapist in Lutz, FL
• Providers in Lutz, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.