Active NPI
Robert Allan Smodic, PT
- Physical Therapist
- Nashville, TN
National Provider Identifier
1306837679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1064
- Practice address
- 301 21St Ave N
Nashville, TN 37203-1821 - Phone
- (615) 329-6600
- NPI assigned
- Nov 4, 2005
- 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 | PT1064 | TN | Primary |
Addresses
Primary practice location
301 21St Ave N
Nashville, TN 37203-1821
Mailing address
608 Norris Ave
Nashville, TN 37204-3708
Phone (615) 695-1432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3645419 | Medicaid | TN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1064 | TN | MD | Physical Therapist |
Interoperability endpoints
- robert.smodic.p1@direct.toa.nextgenshare.com
- robert.smodic.p3@direct.toa.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377648000000",
"number": "1306837679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 NORRIS AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372043708",
"telephone_number": "615-695-1432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 21ST AVE N",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031821",
"telephone_number": "615-329-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMODIC",
"first_name": "ROBERT",
"middle_name": "ALLAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2013-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT1064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3645419",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.