Michael Smith

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

7189 Issued in TN

Practice address

614 Carriage House Dr Ste E
Jackson, TN 38305-4238

Phone

(731) 668-4449

Fax

(731) 668-4405

NPI assigned

Nov 6, 2019

Sex

Male

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

Practice roles

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.

• Aquatherapies, LLC

  • Physical Therapy Clinic/Center
  • Jackson, TN
  • NPI 1053349647
  NPD (past)

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1184268757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 HIGHWAY 45 BYP STE 604",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383054403",
            "telephone_number": "731-512-1264",
            "fax_number": "731-660-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 CARRIAGE HOUSE DR STE E",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383054238",
            "telephone_number": "731-668-4449",
            "fax_number": "731-668-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "7189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delia A Smith
• Garrison Berry Smith, M.D.
• Hannah Marie B Smith, RBT
• Helen Smith, PT
• Kathy Dawn Smith
• Miranda Marie Smith, FNP-C
• Paul Jonathan Smith, MD
• Robena Smith, CASE MANAGER
• Shirley A Smith, CASE MANAGER
• Susan Liane Smith, PTA

• Physical Therapy Assistant in Jackson, TN
• Providers in Jackson, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.