Organization Active NPI

Sports Medicine and Rehab Therapy, LLC

Doing business as SMaRT Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Waycross, GA
National Provider Identifier
1396079224
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SPORTS MEDICINE AND REHAB THERAPY, LLC
Doing business as
SMaRT Physical Therapy
Practice address
301 Pineview Dr
Waycross, GA 31501-5229
Phone
(912) 285-0053
Fax
(912) 283-9289
NPI assigned
Sep 24, 2009
Last updated
Apr 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Cinda Bryson
Title
Billing MGR
Phone
(912) 285-0053

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

301 Pineview Dr
Waycross, GA 31501-5229

Mailing address

301 Pineview Dr
Waycross, GA 31501-5229
Phone (912) 285-0053

Other names 1

  • SMaRT Physical Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL n/a

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100224000010 GA Part B Supplier - Clinic/Group Practice 1658415054 Receives reassigned benefits from 6 practitioners
Practice locations: Waycross, GA; Jesup, GA

National Provider Directory

National Provider Directory

Locations

37 Tippins St
Baxley, GA 31513
Phone (912) 705-4000

1251 S 1st St
Jesup, GA 31545
Phone (912) 427-9990

360 Peachtree St
Jesup, GA 31545
Phone (912) 427-0546

2003 Alice St
#A
Waycross, GA 31501
Phone (912) 285-0053

301 Pineview Dr
Waycross, GA 31501
Phone (912) 285-0053

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1396079224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PINEVIEW DR",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015229",
            "telephone_number": "912-285-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PINEVIEW DR",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015229",
            "telephone_number": "912-285-0053",
            "fax_number": "912-283-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MEDICINE AND REHAB THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "BRYSON",
        "authorized_official_first_name": "CINDA",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "912-285-0053"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "301 Pineview Dr",
            "city": "Waycross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315015229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SMaRT Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waycross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.