Active NPI
John Larry Smart, LPT
- Physical Therapist
- Rockwall, TX
National Provider Identifier
1275618571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1040178
- Practice address
- 930 W Ralph M Hall Pkwy Ste 120
Rockwall, TX 75032-6660 - Phone
- (972) 771-0999
- Fax
- (972) 771-2281
- NPI assigned
- Oct 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1040178 | TX | Primary |
Addresses
Primary practice location
930 W Ralph M Hall Pkwy Ste 120
Rockwall, TX 75032-6660
Mailing address
930 W Ralph M Hall Pkwy Ste 120
Rockwall, TX 75032-6660
Phone (972) 771-0999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1040178 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275618571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 W RALPH M HALL PKWY STE 120",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750326660",
"telephone_number": "972-771-0999",
"fax_number": "972-771-2281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 W RALPH M HALL PKWY STE 120",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750326660",
"telephone_number": "972-771-0999",
"fax_number": "972-771-2281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMART",
"first_name": "JOHN",
"middle_name": "LARRY",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1040178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
- Afanwi Fumbi Sirri
- Karen Kubota Slabas, M.D.
- Sleep Interpreters PLLC
- Sleep Therapy of North Texas LLP
- Jennifer Slencak, MSN, APRN, FNP-C
- Smiley Tooth (The Smiley Tooth - Pediatric Dentistry of Rockwall)
- Smiley Tooth LLLP
- Alisha Phillips Smith, CPNP
- Angela Smith, MA, CCC-SLP
- Azalea Rebecca Smith, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.