Individual provider Active NPI

T Andy Smith, DPT MTC

  • Physical Therapist
  • Athens, GA
National Provider Identifier
1275540353
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9914 Issued in NC
Practice address
55 Carlton St
Athens, GA 30602-1503
Phone
(706) 542-8621
Fax
(706) 583-0217
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9914 NC Primary

Addresses

Primary practice location

55 Carlton St
Athens, GA 30602-1503

Mailing address

55 Carlton St
Athens, GA 30602-1503
Phone (706) 542-8621

Other names 1

  • Thomas Anderson Smith Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221028000700 GA Practitioner - Physical Therapist in Private Practice 0840275962 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9914NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Regents of the University System of Georgia CurrentSince Oct 1, 2022 Accepting new patients
Board of Regents of the University System of Georgia CurrentSince Oct 1, 2022 Accepting new patients
Southeastern Physical Therapy, LLC Physical Therapist Past Accepting new patients
University Health Center, University of Ga Health Center Pharmacy Past Accepting new patients
Thomas Center for Physical Therapy Physical Therapist PastSince Oct 16, 2022 Accepting new patients

Locations

55 Carlton St
Athens, GA 30602
Phone (706) 542-2273

110 Carlton St
Athens, GA 30602
Phone (706) 542-4598

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1275540353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CARLTON ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306021503",
            "telephone_number": "706-542-8621",
            "fax_number": "706-583-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CARLTON ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306021503",
            "telephone_number": "706-542-8621",
            "fax_number": "706-583-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "T",
        "middle_name": "ANDY",
        "name_prefix": "Mr.",
        "credential": "DPT MTC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "SMITH",
            "middle_name": "ANDERSON",
            "credential": "DPT MTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.