Active NPI
Smart Institute
- Speech-Language Pathologist
- Fort Worth, TX
National Provider Identifier
1477660488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 102607
- Legal business name
- SMART INSTITUTE
- Practice address
- 3600 W 7TH St
Fort Worth, TX 76107-2534 - Phone
- (817) 377-3422
- Fax
- (817) 735-8615
- NPI assigned
- Aug 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mario Bravomalo, LPT
- Title
- Owner/Director
- Phone
- (817) 377-3422
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1067213 | TX | |
| Physical Therapist | 225100000X | 1115103 | TX | |
| Physical Therapist | 225100000X | 1142016 | TX | |
| Physical Therapist | 225100000X | 1142990 | TX | |
| Occupational Therapist | 225X00000X | 109562 | TX | |
| Speech-Language Pathologist | 235Z00000X | 101365 | TX | |
| Speech-Language Pathologist | 235Z00000X | 102607 | TX | Primary |
Addresses
Primary practice location
3600 W 7TH St
Fort Worth, TX 76107-2534
Mailing address
3600 W 7TH St
Fort Worth, TX 76107-2534
Phone (817) 377-3422
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1477660488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 W 7TH ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761072534",
"telephone_number": "817-377-3422",
"fax_number": "817-735-8615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 W 7TH ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761072534",
"telephone_number": "817-377-3422",
"fax_number": "817-735-8615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMART INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-24",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BRAVOMALO",
"authorized_official_first_name": "MARIO",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "817-377-3422",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": "1067213",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": "1115103",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": "1142016",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": "1142990",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "TX",
"license": "109562",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "101365",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "102607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.