Mary Doyle Smith, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

4019 Issued in GA

Practice address

11660 Alpharetta Hwy Ste 115
Roswell, GA 30076-3872

Phone

(770) 992-4001

Fax

(770) 992-4095

NPI assigned

Jan 16, 2006

Sex

Female

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

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Emory University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fusion Physical Therapy, IncGroup PAC ID 0446490411, 3 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 and National Provider Directory roles.

• Fusion Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Roswell, GA
  • NPI 1437593464

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Athletic Spine Rehabilitation, LLC

  • Physical Therapist
  • Marietta, GA
  • NPI 1740355304
  NPD

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1417936618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11660 ALPHARETTA HWY STE 115",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763872",
            "telephone_number": "770-992-4001",
            "fax_number": "770-992-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 ALPHARETTA HWY STE 115",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763872",
            "telephone_number": "770-992-4001",
            "fax_number": "770-992-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY",
        "middle_name": "DOYLE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "004019",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "4019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacy Smith
• Laura Smith
• Laura Kathryn Smith, LCSW
• Lori Landreneau Smith, D.D.S.
• Marilyn Smith
• Mary Mandy Smith, M. ED. CCC-SLP
• Melissa Smith
• Michael Grover Smith, DDS
• Robert Holland Smith, D.D.S.
• Sydney Marie Smith, MT-BC

• Orthopedic Physical Therapist in Roswell, GA
• Providers in Roswell, GA by specialty
• Orthopedic Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.