Active NPI
Tory L Smith, PT
- Physical Therapist
- Carlsbad, NM
National Provider Identifier
1700879590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2617
- Practice address
- 128 S Canyon St
Carlsbad, NM 88220-5733 - Phone
- (575) 628-0503
- Fax
- (575) 628-3073
- NPI assigned
- Aug 26, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2617 | NM | Primary |
Addresses
Primary practice location
128 S Canyon St
Carlsbad, NM 88220-5733
Mailing address
PO Box 2860
Alamogordo, NM 88311-2860
Phone (575) 628-0503
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM00Q019 | Other | NM | BLUE CROSS BLUE SHIELD |
| 65579844 | Medicaid | NM |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307577600000",
"number": "1700879590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2860",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883112860",
"telephone_number": "575-628-0503",
"fax_number": "575-628-3073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 S CANYON ST",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882205733",
"telephone_number": "575-628-0503",
"fax_number": "575-628-3073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TORY",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2011-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "2617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "NM00Q019",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65579844",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.