Individual provider Active NPI

Daryl James Smith, MPT

  • Orthopedic Physical Therapist
  • New Braunfels, TX
National Provider Identifier
1356366553
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1348365 Issued in TX
Practice address
1744 E Common St Ste 400
New Braunfels, TX 78130-6079
Phone
(830) 620-4922
Fax
(830) 625-1194
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1348365 TX Primary

Addresses

Primary practice location

1744 E Common St Ste 400
New Braunfels, TX 78130-6079

Mailing address

1744 E Common St Ste 400
New Braunfels, TX 78130-6079
Phone (830) 620-4922

Other identifiers 2

IdentifierTypeStateIssuer
8324451MedicaidWA
1348365OtherTXLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211216002417 TX Practitioner - Physical Therapist in Private Practice 5890712392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Braunfels Sports and Spine Physical TherapyGroup PAC ID 4688748684, 5 clinicians

Practice addresses (Care Compare)

1744 E Common St
Suite 400
New Braunfels, TX 78130-6079
Phone (830) 620-4922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Braunfels Sports & Spine Physical Therapy Orthopedic CurrentSince Oct 15, 2021 Accepting new patients
Pine Lake Physical Therapy & Sports Rehab, P.S. Orthopedic PastSince Sep 1, 1998 Accepting new patients

Locations

1744 E Common St
Ste 400
New Braunfels, TX 78130
Phone (830) 620-4922

Organizations & group practices 2

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1356366553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 E COMMON ST STE 400",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306079",
            "telephone_number": "830-620-4922",
            "fax_number": "830-625-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 E COMMON ST STE 400",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306079",
            "telephone_number": "830-620-4922",
            "fax_number": "830-625-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DARYL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-03-01",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1348365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8324451",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1348365",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.