Individual provider Active NPI

Lynessa Smith, PT

  • Physical Therapist
  • Rainbow City, AL
National Provider Identifier
1669962932
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP046943T Issued in AL
Practice address
124 W Grand Ave Ste a-4
Rainbow City, AL 35906-3203
Phone
(256) 295-9048
NPI assigned
May 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 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 PT013225 GA
Physical Therapist 225100000X CP046943T AL Primary

Addresses

Primary practice location

124 W Grand Ave Ste a-4
Rainbow City, AL 35906-3203

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

234 Jonesboro Rd
McDonough, GA 30253-3720
Phone (770) 954-9631

Other practice location 2

1008 Colonial Ct
Mobile, AL 36606-1105
Phone (251) 751-2087

Other practice location 3

9050 Peridot Pkwy Ste E
Stockbridge, GA 30281-9417
Phone (770) 474-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819002511 AL Practitioner - Physical Therapist in Private Practice 0749789402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings of Alabama LLCGroup PAC ID 2769756436, 66 clinicians

Practice addresses (Care Compare)

124 W Grand Ave
Suite a 4
Rainbow City, AL 35906-3203
Phone (256) 295-9048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP046943TALMDPhysical Therapist
PT013225GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings of Alabama, LLC Physical Therapist CurrentSince Aug 6, 2025 Accepting new patients
Matrix Rehabilitation-Georgia Inc Past Accepting new patients
Matrix Rehabilitation-Georgia Inc PastSince Oct 6, 2024 Accepting new patients
Matrix Rehabilitation-Georgia Inc Past Accepting new patients

Locations

1877 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 727-1701

124 W Grand Ave
Ste A4
Rainbow City, AL 35906
Phone (256) 295-9048

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

Organizations & group practices 4

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": "1526169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1669962932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W GRAND AVE STE A-4",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359063203",
            "telephone_number": "256-295-9048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Jonesboro Rd",
            "address_purpose": "LOCATION",
            "city": "McDonough",
            "state": "GA",
            "postal_code": "302533720",
            "country_code": "US",
            "telephone_number": "770-954-9631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1008 Colonial Ct",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366061105",
            "country_code": "US",
            "telephone_number": "251-751-2087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9050 Peridot Pkwy Ste E",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302819417",
            "country_code": "US",
            "telephone_number": "770-474-0540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LYNESSA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-13",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013225",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "CP046943T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainbow City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.

Verify at the official NPI Registry.