Barbara Ann Smith, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT001417 Issued in GA

Practice address

130 Howard LN
Fayetteville, GA 30215-1849

Phone

(770) 460-0165

NPI assigned

Mar 15, 2007

Last updated

Mar 24, 2021By the provider in NPPES

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

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hands on Healing PC

  • Occupational Therapist
  • Fayetteville, GA
  • NPI 1710011804

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1457485088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 PORTWEST WAY",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302283272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HOWARD LN",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302151849",
            "telephone_number": "770-460-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT001417",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT001417",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000826636B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sleep Services of America
• Small Steps Music, L.L.C.
• Smile Mission Fayetteville LLC
• Marilynn Rae Smith-Bowles, NP
• Alexis Smith, RBT, BS
• Connor Mitchell Smith, MD
• Cynthia M Smith, PA-C
• Erin Dee Smith
• Evon Smith
• Harvelyn Duncan Smith, P.T.

• Physical Therapist in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.