Matthew Thomas Smith, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT33420 Issued in FL

Practice address

12421 San Jose Blvd Ste 100
Jacksonville, FL 32223-8662

Phone

(904) 292-0195

Fax

(904) 292-0566

NPI assigned

May 3, 2018

Last updated

Jan 3, 2019By the provider in NPPES

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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlas Physical Therapy and Sports Medicine IncGroup PAC ID 8426017807, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlas Physical Therapy & Sports Medicine Inc

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1508859893
  Medicare reassignment Care Compare group NPD
• Rehab Advantage Solutions, PLLC

  dba TMC Therapy at Home

  • Physical Therapist
  • Homosassa, FL
  • NPI 1164908307
  Medicare reassignment NPD
• Atlas Physical Therapy & Sports Medicine Inc

  • Physical Therapist
  • St Augustine, FL
  • NPI 1184214546
  NPD

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1376032474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DRAKE RD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320866201",
            "telephone_number": "321-749-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12421 SAN JOSE BLVD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238662",
            "telephone_number": "904-292-0195",
            "fax_number": "904-292-0566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 Jordan Blass Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329401325",
            "country_code": "US",
            "telephone_number": "321-622-6508",
            "fax_number": "321-622-6578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary D Smith, CNA CERTIFICATION
• Mary Olivia Smith, DO
• Matthew Smith, DMD
• Matthew Lamar Smith, DDS
• Matthew Thomas Smith, DO
• Meghan Smith, ATC
• Melana Andreu Smith, R.N.
• Melanie Smith
• Melissa Jennifer Smith
• Michael Allen Smith, PH.D., LCSW

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.