Active NPI
Brian Wray Smith, PHYSICAL THERAPIST
- Physical Therapist
- Martin, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5110
- Practice address
- 104 Oxford St
Martin, TN 38237-2428 - Phone
- (731) 587-3422
- Fax
- (731) 587-3424
- NPI assigned
- Jul 12, 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 | 5110 | TN | Primary |
Addresses
Primary practice location
104 Oxford St
Martin, TN 38237-2428
Mailing address
PO Box 288
Martin, TN 38237-0288
Phone (731) 587-3422
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4062540 | Other | TN | PHYSICAL THERAPIST |
| 3717871 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 Oxford St
Martin, TN 38237-2428
Phone (731) 587-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamix Physical Therapy LLC | Current | Accepting new patients | |
| Kerry D. Friesen, M.D. PC | Past | Accepting new patients | |
| Dynamix Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Locations
2035 E Shiloh Rd
Ste A
Corinth, MS 38834
Phone (662) 212-5250
5 N Lafayette Ave
Brownsville, TN 38012
Phone (731) 613-2214
309 Highway 641 N
Camden, TN 38320
Phone (731) 584-1722
973 Highway 51 N
Ste 16
Covington, TN 38019
Phone (901) 617-0100
470 Mall Blvd
Ste D
Dyersburg, TN 38024
Phone (731) 259-9995
405 N Front St
Greenfield, TN 38230
Phone (731) 678-0221
3095 Eastend Dr
Humboldt, TN 38343
Phone (731) 824-2221
529 High St
Huntingdon, TN 38344
Phone (731) 418-8100
117 Bowling Dr
Jackson, TN 38305
Phone (731) 300-2202
1314 S Highland Ave
Jackson, TN 38301
Phone (731) 891-6006
104 Oxford St
Martin, TN 38237
Phone (731) 587-3422
103 Main St S
Mc Kenzie, TN 38201
Phone (731) 393-0504
2060 Rhino Xing
Milan, TN 38358
Phone (731) 613-2214
8586 US Highway 51 N
Millington, TN 38053
Phone (901) 430-8100
1023 Mineral Wells Ave
Ste E
Paris, TN 38242
Phone (731) 333-3306
17760 US Highway 64
Ste A
Somerville, TN 38068
128 Davy Crockett Mall
Trenton, TN 38382
Phone (731) 855-2221
1370 Rutledge Ln
Union City, TN 38261
Phone (731) 389-9800
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Milan, TN
- NPI 1669619268
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1316052624
-
- Physical Therapist
- Corinth, MS
- NPI 1962295576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1316945488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 288",
"city": "MARTIN",
"state": "TN",
"postal_code": "382370288",
"telephone_number": "731-587-3422",
"fax_number": "731-587-3424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 OXFORD ST",
"city": "MARTIN",
"state": "TN",
"postal_code": "382372428",
"telephone_number": "731-587-3422",
"fax_number": "731-587-3424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BRIAN",
"middle_name": "WRAY",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "5110",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "4062540",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3717871",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.