Rebecca Smith-Pattillo, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007693 Issued in GA

Practice address

1416 Heath St
Augusta, GA 30904-6212

Phone

(706) 738-9846

NPI assigned

May 21, 2008

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

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1497912869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 HEATH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046212",
            "telephone_number": "706-738-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 HEATH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046212",
            "telephone_number": "706-738-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-PATTILLO",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007693",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mattavia Smalls
• Reven C Smalls, LPC
• Donald Lance Smallwood, D.O.
• Brandon Smart
• Smile Center of Augusta, LLC
• Mary Smith-Tyler
• Alan Milledge Smith, MD
• Alexis Deana Smith, MD
• Alison B Smith, LPC
• Anne L Smith, N.P.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.