Active NPI
Joshua Joe Smith, PTA
- Physical Therapy Assistant
- Paris, TN
National Provider Identifier
1629411780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 0000004869
- Practice address
- 800 Volunteer Dr
Paris, TN 38242-5472 - Phone
- (731) 642-2535
- NPI assigned
- Apr 9, 2013
- Sex
- Male
- 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 Therapy Assistant | 225200000X | 0000004869 | TN | Primary |
| Physical Therapy Assistant | 225200000X | A02598 | KY |
Addresses
Primary practice location
800 Volunteer Dr
Paris, TN 38242-5472
Mailing address
1599 Calvin Wilson Rd
Hazel, KY 42049-8637
Phone (270) 492-8333
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A02598 | KY | MD | Physical Therapy Assistant |
| 0000004869 | TN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1629411780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1599 CALVIN WILSON RD",
"city": "HAZEL",
"state": "KY",
"postal_code": "420498637",
"telephone_number": "270-492-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 VOLUNTEER DR",
"city": "PARIS",
"state": "TN",
"postal_code": "382425472",
"telephone_number": "731-642-2535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JOSHUA",
"middle_name": "JOE",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-09",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "0000004869",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KY",
"license": "A02598",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paris, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.