Individual provider Active NPI

Stacy L Smith, RPT

  • Physical Therapist
  • Springhill, LA
National Provider Identifier
1689282691
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
06756R Issued in LA
Practice address
206 Reynolds St
Springhill, LA 71075-3444
Phone
(318) 539-4006
Fax
(318) 539-4008
NPI assigned
Jul 15, 2020
Last updated
Jul 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 06756R LA Primary

Addresses

Primary practice location

206 Reynolds St
Springhill, LA 71075-3444

Mailing address

2001 Doctors Dr
Springhill, LA 71075-4526
Phone (318) 539-1000

Other names 1

  • Stacy Lee McCathvan Former name

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

LicenseStateTypeSpecialty
06756RLAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Springhill Medical Services Inc Physical Therapist CurrentSince Jul 27, 2020 Accepting new patients
Springhill Medical Services, Inc. PastSince Jul 27, 2020 Accepting new patients

Locations

2001 Doctors Dr
Springhill, LA 71075
Phone (318) 539-1000

206 Reynolds St
Springhill, LA 71075
Phone (318) 539-4006

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1689282691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 DOCTORS DR",
            "city": "SPRINGHILL",
            "state": "LA",
            "postal_code": "710754526",
            "telephone_number": "318-539-1000",
            "fax_number": "318-539-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 REYNOLDS ST",
            "city": "SPRINGHILL",
            "state": "LA",
            "postal_code": "710753444",
            "telephone_number": "318-539-4006",
            "fax_number": "318-539-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STACY",
        "middle_name": "L",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "06756R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "MCCATHVAN",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springhill, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.