Barry Travis Smith, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0000006392 Issued in TN

Practice address

17919 Rankin Ave Ste G
Dunlap, TN 37327-7040

Phone

(423) 949-7899

Fax

(423) 949-3416

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sequatchie Valley Physical Therapy, LLC

  dba Omni Rehab, LLC

  • Physical Therapist
  • Dunlap, TN
  • NPI 1073701751
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1417040312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 UPPER EAST VALLEY RD",
            "city": "PIKEVILLE",
            "state": "TN",
            "postal_code": "373673824",
            "telephone_number": "423-533-4002",
            "fax_number": "423-533-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17919 RANKIN AVE STE G",
            "city": "DUNLAP",
            "state": "TN",
            "postal_code": "373277040",
            "telephone_number": "423-949-7899",
            "fax_number": "423-949-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BARRY",
        "middle_name": "TRAVIS",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "0000006392",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "0000000634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sequatchie Valley Physical Therapy, LLC (Omni Rehab, LLC)
• Jessica Dion Shedd, NP-C
• Karen Shepherd, D.O.
• Ashley Louise Shockley, MOT, OTR/L
• Sydney Shoulders
• Derrick Smith
• South East Tennessee Human Resource Agency
• Southeast TN. Human Resource Agency
• State of Tennessee (Sequatchie County Health Department)
• Steven D. Elliott, O.D. & Associates, Inc (Volunteer EyeCare)

• Physical Therapist in Dunlap, TN
• Providers in Dunlap, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.