Individual provider Active NPI

Brandi L Smith, PT, FAAOMPT, OCS

  • Orthopedic Physical Therapist
  • Pflugerville, TX
National Provider Identifier
1598885873
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1161748 Issued in TX
Practice address
1704 Kingston Lacy Blvd
Pflugerville, TX 78660-5318
Phone
(512) 426-6593
Fax
(008) 265-9314
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1161748 TX
Orthopedic Physical Therapist 2251X0800X 1161748 TX Primary

Addresses

Primary practice location

1704 Kingston Lacy Blvd
Pflugerville, TX 78660-5318

Mailing address

1704 Kingston Lacy Blvd
Pflugerville, TX 78660-5318
Phone (512) 426-6593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1161748TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1598885873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 KINGSTON LACY BLVD",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605318",
            "telephone_number": "512-426-6593",
            "fax_number": "800-265-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 KINGSTON LACY BLVD",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605318",
            "telephone_number": "512-426-6593",
            "fax_number": "008-265-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRANDI",
        "middle_name": "L",
        "credential": "PT, FAAOMPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1161748",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1161748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.