Active NPI
Carrie Leigh Smith, MPT
- Physical Therapist
- Poplar Bluff, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2012027934
- Practice address
- 2166 N Westwood Blvd
Poplar Bluff, MO 63901-2440 - Phone
- (573) 712-2696
- Fax
- (573) 712-2991
- NPI assigned
- May 14, 2007
- Last updated
- Mar 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2944 | AR | |
| Physical Therapist | 225100000X | 2012027934 | MO | Primary |
Addresses
Primary practice location
2166 N Westwood Blvd
Poplar Bluff, MO 63901-2440
Mailing address
2166 N Westwood Blvd
Poplar Bluff, MO 63901-2440
Phone (573) 712-2696
Other practice location 1
1206 Gordon Duckworth Dr
Piggott, AR 72454-1911
Phone (870) 598-3881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162167721 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2166 N Westwood Blvd
Poplar Bluff, MO 63901-2440
Phone (573) 712-2696
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2944 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
Locations
2166 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 712-2696
Organizations & group practices 1
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.
-
- Physical Therapist
- Poplar Bluff, MO
- NPI 1225459712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1558577056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2166 N WESTWOOD BLVD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012440",
"telephone_number": "573-712-2696",
"fax_number": "573-712-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2166 N WESTWOOD BLVD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012440",
"telephone_number": "573-712-2696",
"fax_number": "573-712-2991"
}
],
"practiceLocations": [
{
"address_1": "1206 Gordon Duckworth Dr",
"address_purpose": "LOCATION",
"city": "Piggott",
"state": "AR",
"postal_code": "724541911",
"country_code": "US",
"telephone_number": "870-598-3881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "CARRIE",
"middle_name": "LEIGH",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "2944",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2012027934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162167721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.