Individual provider Active NPI

Diane Smith, DPT

  • Physical Therapist
  • Lawrenceburg, TN
National Provider Identifier
1659047488
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16208 Issued in TN
Practice address
808 N Locust Ave
Lawrenceburg, TN 38464-2804
Phone
(931) 762-4000
NPI assigned
Aug 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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
Physical Therapist 225100000X 16208 TN Primary

Addresses

Primary practice location

808 N Locust Ave
Lawrenceburg, TN 38464-2804

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

3051 E Palmer Wasilla Hwy
Wasilla, AK 99654-7234
Phone (907) 376-8590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210902003301 AK Practitioner - Physical Therapist in Private Practice 9335545094 Reassigns benefits to 1 organization
I20250407002328 TN Practitioner - Physical Therapist in Private Practice 9335545094 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16208TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA Inc CurrentSince Mar 26, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Mar 26, 2025 Accepting new patients
Advanced Physical Therapy Inc Physical Therapist CurrentSince Sep 13, 2021 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Mar 26, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist Current Accepting new patients

Locations

1917 Abbott Rd
Ste 200
Anchorage, AK 99507
Phone (907) 279-4266

3051 E Palmer Wasilla Hwy
Wasilla, AK 99654
Phone (907) 352-4800

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1608 Gunbarrel Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 892-8070

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

808 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 762-4000

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1659047488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642804",
            "telephone_number": "931-762-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3051 E Palmer Wasilla Hwy",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547234",
            "country_code": "US",
            "telephone_number": "907-376-8590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "16208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.