Brian Smith, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P20184 Issued in NC

Practice address

16615 W Catawba Ave Ste D
Huntersville, NC 28078-8989

Phone

(704) 987-4322

NPI assigned

Mar 15, 2021

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

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forsyth Medical Group, LLCGroup PAC ID 3678478054, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.smith.1@27575.direct.athenahealth.com

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.

• Forsyth Medical Group, LLC

  • Obstetrics & Gynecology Physician
  • Hendersonville, NC
  • NPI 1750081378
  Medicare reassignment Care Compare group
• Precision Rehab and Performance

  • Rehabilitation Clinic/Center
  • Charlotte, NC
  • NPI 1982480273
  NPD Authorized official
• Forsyth Medical Group, LLC

  • Physical Therapist
  • Cornelius, NC
  • NPI 1982598264
  NPD
• Forsyth Memorial Hospital Inc

  • Cardiovascular Disease Physician
  • Winston Salem, NC
  • NPI 1114200771
  NPD (past)

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693699200000",
    "number": "1346825072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12636 HEADQUARTERS FARM RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621579",
            "telephone_number": "704-689-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16615 W CATAWBA AVE STE D",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280788989",
            "telephone_number": "704-987-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-15",
        "last_updated": "2023-09-03",
        "certification_date": "2023-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia V. Slisenko, DNP
• Kristy Smith Johnson
• Samantha Smith-Bowman, R.D.
• Alexis Christine Smith, D.O.
• Arley Corinne Smith, LPC, LCMHC
• Cliff Reid Smith, DO
• Donaisha Smith
• Hannah Lane Smith, FNP-C
• Keisha Smith
• Marilyn G Smith, NP

• Physical Therapist in Huntersville, NC
• Providers in Huntersville, 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 Sep 3, 2023; 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.