Bradley Michael Smith, A.T.P.

Primary specialty

Assistive Technology Practitioner Rehabilitation CounselorTaxonomy code 225CA2400X

License

ATP13910 Issued in TX

Practice address

6209 Trail Lake Dr
Fort Worth, TX 76133-3405

Phone

(817) 793-3773

NPI assigned

Aug 15, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1497034995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6209 TRAIL LAKE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761333405",
            "telephone_number": "817-793-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 TRAIL LAKE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761333405",
            "telephone_number": "817-793-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRADLEY",
        "middle_name": "MICHAEL",
        "credential": "A.T.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225CA2400X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": "TX",
            "license": "ATP13910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aquantina Smith, MED, LAT
• Ava Gale Smith, R.N., P.M.H.N.P
• Bailey Smith, CPNP
• Bert Doulgas Smith, MPT
• Betty Smith
• Britney Smith, NP
• Brittany D Smith, LCSW
• Caleb Smith, MD
• Carla Michelle Smith
• Carol Jean Smith, PT, DPT

• Rehabilitation Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Rehabilitation Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.