Bert Doulgas Smith, MPT

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

1158873 Issued in TX

Practice address

6930 Harris Pkwy Ste 120
Fort Worth, TX 76132-4272

Phone

(817) 885-0668

Fax

(817) 887-5875

NPI assigned

Apr 13, 2011

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

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bonnette Elite Physical Therapy and WellnessGroup PAC ID 1759671399, 12 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.

• Bonnette Elite Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
  • NPI 1891141362

  Geriatrics

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1427348234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 HARRIS PKWY STE 120",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324272",
            "telephone_number": "817-885-0668",
            "fax_number": "817-887-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 HARRIS PKWY STE 120",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324272",
            "telephone_number": "817-885-0668",
            "fax_number": "817-887-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BERT",
        "middle_name": "DOULGAS",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-13",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "TX",
            "license": "1158873",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "TX",
            "license": "1158873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew John Smith, OT
• Ann Louise Smith, PHD, CPNP
• Aquantina Smith, MED, LAT
• Ava Gale Smith, R.N., P.M.H.N.P
• Bailey Smith, CPNP
• Betty Smith
• Bradley Michael Smith, A.T.P.
• Britney Smith, NP
• Brittany D Smith, LCSW
• Caleb Smith, MD

• Neurology Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Neurology Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.