Individual provider Active NPI

Susan Depoliti Smith, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Georgetown, TX
National Provider Identifier
1467466250
Registry record updated Nov 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
L7711 Issued in TX
Practice address
227 Saddlebred LN
Georgetown, TX 78633-2316
Phone
(361) 985-1221
Fax
(361) 985-1295
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X L7711 TX Primary

Addresses

Primary practice location

227 Saddlebred LN
Georgetown, TX 78633-2316

Mailing address

227 Saddlebred LN
Georgetown, TX 78633-2316
Phone (361) 985-1221

Other identifiers 1

IdentifierTypeStateIssuer
L7711OtherTXLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519001341 TX Practitioner - Physical Medicine and Rehabilitation 8022009083 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Susan D. Tower, MD PA Physical Medicine & Rehabilitation CurrentSince Sep 1, 2009 Accepting new patients
Susan Depoliti Smith Physical Medicine & Rehabilitation CurrentSince Jun 1, 2006 Accepting new patients
Rehabilitation Associates Physical Medicine & Rehabilitation Past Accepting new patients

Locations

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

613 Elizabeth St
Ste 203
Corpus Christi, TX 78404

Organizations & group practices 3

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762560000000",
    "number": "1467466250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 SADDLEBRED LN",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332316",
            "telephone_number": "361-985-1221",
            "fax_number": "361-985-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 SADDLEBRED LN",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332316",
            "telephone_number": "361-985-1221",
            "fax_number": "361-985-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUSAN",
        "middle_name": "DEPOLITI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "L7711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "L7711",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.