Misty Rene Smith, PTA
Individual provider Active NPI Physical Therapy Assistant · Sweeny, TX
NPI 1659920650 · NPPES record last updated Sep 11, 2019
Key facts
- NPI
- 1659920650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2071171 (TX)
- Practice address
- 5934 County Road 289
Sweeny, TX 77480-4024 - Phone
- (979) 533-9158
- NPI assigned
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2071171 | TX | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2071171 | TX | Yes |
Addresses
Primary practice location
5934 County Road 289
Sweeny, TX 77480-4024
Mailing address
5934 County Road 289
Sweeny, TX 77480-4024
Phone (979) 533-9158
Other providers in Sweeny, TX
- Falin Alise Rouse
- Alma Sanchez
- Daniel A Shurtleff
- Holly Nicole Singletary
- Chesney Sims Sisson
- Southern Speech, PLLC
- SSC Sweeny Operating Company LLC
- Tiffany Sage Stone
- Subramaniam Ramanathan Mdpa
- Sweeny Dialysis Care LLP
All providers in Sweeny, TX · Physical Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.