Tyler Cavin Smith, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P17650 Issued in NC

Practice address

11618 US 70 Business Hwy W
Ste 106
Clayton, NC 27520-2276

Phone

(919) 373-2000

Fax

(919) 373-2200

NPI assigned

Jan 2, 2018

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

Other names 1

• Tyler Smith Other name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tyler.smith.1@28813.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/9643/brand/1/csg/1/fhir/r4

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.

• Carolina Decompression and Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Clayton, NC
  • NPI 1326705450

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Activcare Physical Therapy, LLC

  • Clinic/Center
  • Raleigh, NC
  • NPI 1548409626

  Physical Therapist

  Medicare reassignment NPD
• Performance Rehabilitation Corp.

  • Physical Therapy Clinic/Center
  • Sanford, NC
  • NPI 1508053489
  NPD (past)

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1255848156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11618 US 70 BUSINESS HWY W",
            "address_2": "STE 106",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202276",
            "telephone_number": "919-373-2000",
            "fax_number": "919-373-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11618 US 70 BUSINESS HWY W",
            "address_2": "STE 106",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202276",
            "telephone_number": "919-373-2000",
            "fax_number": "919-373-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TYLER",
        "middle_name": "CAVIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-02",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYLER",
            "last_name": "SMITH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Meredith Myers Smith, PHARMD
• Morgan Smith, FNP-C
• Nicole E Smith, LCSW
• Robin Smith, LCMHC
• Tiffany S Smith, COTA/L
• Victoria Ruth Neighbors Smith
• Smithfield East Health Holdings, LLC
• Erica Brooke Soltau, COTA/L
• Caitlin Somarriba, DPT
• Southeast Medspa Laser & Wellness

• Physical Therapist in Clayton, NC
• Providers in Clayton, 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 Jun 17, 2026; 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.