Susan Stacy Smith, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008759 Issued in GA

Practice address

1370 Montreal Rd
Ste 100
Tucker, GA 30084-8128

Phone

(770) 939-3566

NPI assigned

Oct 4, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1356436596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W BENSON ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304313",
            "telephone_number": "404-877-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 MONTREAL RD",
            "address_2": "STE 100",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300848128",
            "telephone_number": "770-939-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUSAN",
        "middle_name": "STACY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth L Smith, RBT
• Jan T. Smith, RPH
• Kenneth B Smith
• Ledarius Smith, PHARMD
• Marissa Smith, MSW
• Jill Snelson, CPM
• SNH Georgia Tenant LLC
• Cheryl Maria Snyder, DDS
• Socialminds Therapy, LLC
• Bhavini Solanki-Vasan, LPC

• Physical Therapist in Tucker, GA
• Providers in Tucker, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.