Matthew W Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3511 Issued in MS

Practice address

7065 Airways Blvd
Suite 110
Southaven, MS 38671-5873

Phone

(662) 349-8997

Fax

(662) 349-8987

NPI assigned

Aug 29, 2008

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)

Enrolled

State licenses

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.

• Cornerstone Rehabilitation of Batesville Inc

  • Physical Therapist
  • Batesville, MS
  • NPI 1639114390
  NPD (past)
• Cornerstone Rehabilitation of Senatobia Inc

  • Physical Therapist
  • Senatobia, MS
  • NPI 1043246192
  NPD (past)
• Pro Health Aquisition Company

  • Physical Therapist
  • Kosciusko, MS
  • NPI 1659316313
  NPD (past)
• Enduracare Acute Care Services LLC

  • Rehabilitation Clinic/Center
  • Franklin, TN
  • NPI 1568975506

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1184872483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7065 AIRWAYS BLVD",
            "address_2": "SUITE 110",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715873",
            "telephone_number": "662-349-8997",
            "fax_number": "662-349-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7065 AIRWAYS BLVD",
            "address_2": "SUITE 110",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715873",
            "telephone_number": "662-349-8997",
            "fax_number": "662-349-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MATTHEW",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "3511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward L Smith Sr.
• Gabrielle Smith, HIS
• Johnella Smith
• Lashay Smith
• Lauren Smith, FNP
• Morgan Thomas Smith
• Noel Smith, RBT
• Regina Christy Smith, APN
• Steven A Smith
• Teresa D Smith, FNP

• Physical Therapist in Southaven, MS
• Providers in Southaven, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.