Individual provider Active NPI

Elizabeth Anne Smith, PT, DPT

  • Physical Therapist
  • Lawrenceville, GA
National Provider Identifier
1427448653
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
225100000 Issued in GA
Practice address
4825 Sugarloaf Pkwy Ste C
Lawrenceville, GA 30044-8800
Phone
(770) 932-9521
NPI assigned
Jan 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 225100000 GA Primary

Addresses

Primary practice location

4825 Sugarloaf Pkwy Ste C
Lawrenceville, GA 30044-8800

Mailing address

6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915
Phone (423) 238-3473

Other practice location 1

201 Business Park Dr
Suite 204
Rincon, GA 31326-5583
Phone (877) 826-1509

Other names 1

  • Elizabeth Anne Crewdson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160907001566 GA Practitioner - Physical Therapist in Private Practice 1254635600 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Physical Therapy of Georgia, LLCGroup PAC ID 2961312244, 526 clinicians

Practice addresses (Care Compare)

2463 Hamilton Mill Pkwy
Suite 250
Dacula, GA 30019-4647
Phone (770) 932-9521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7988SCMDMarriage & Family Therapist
225100000GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Effingham Orthopedic Practice, LLC CurrentSince Jan 1, 2017 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Aug 1, 2022 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Palmetto Therapy Services Physical Therapist PastSince Dec 7, 2015 Accepting new patients
Effingham Rehab Services, LLC Past Accepting new patients
Independent Physical Therapy of Georgia , LLC Physical Therapist Past Accepting new patients
Effingham Rehab Services, LLC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

7201 Turner Lake Rd NW
Ste 13
Covington, GA 30014
Phone (470) 444-1609

2463 Hamilton Mill Pkwy
Ste 250
Dacula, GA 30019
Phone (770) 365-7876

2065 Grayson Hwy
Ste B
Grayson, GA 30017
Phone (678) 367-0213

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

4825 Sugarloaf Pkwy
Ste C
Lawrenceville, GA 30044
Phone (678) 583-9954

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

277 Highway 74 N
Ste 203
Peachtree City, GA 30269
Phone (678) 364-0337

613 Towne Park Dr W
Ste 303304
Rincon, GA 31326
Phone (912) 826-3111

1326 Eisenhower Dr
Bldg 1
Savannah, GA 31406
Phone (912) 691-4100

1000 Peachtree Industrial Blvd
Ste 5
Suwanee, GA 30024
Phone (678) 482-9695

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1427448653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214915",
            "telephone_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 SUGARLOAF PKWY STE C",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300448800",
            "telephone_number": "770-932-9521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Business Park Dr",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Rincon",
            "state": "GA",
            "postal_code": "313265583",
            "country_code": "US",
            "telephone_number": "877-826-1509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "225100000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CREWDSON",
            "middle_name": "ANNE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.