Active NPI
Brett Smilie, DPT
- Physical Therapist
- Allen, TX
National Provider Identifier
1396384038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3124850
- Practice address
- 1206 E Main St
Allen, TX 75002-3976 - Phone
- (972) 325-1390
- NPI assigned
- Dec 28, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3124850 | TX | Primary |
Addresses
Primary practice location
1206 E Main St
Allen, TX 75002-3976
Mailing address
6260 Fox Run Dr
Midlothian, TX 76065-8816
Phone (469) 323-6773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3124850 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1396384038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6260 FOX RUN DR",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760658816",
"telephone_number": "469-323-6773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 E MAIN ST",
"city": "ALLEN",
"state": "TX",
"postal_code": "750023976",
"telephone_number": "972-325-1390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMILIE",
"first_name": "BRETT",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-28",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "3124850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.