Active NPI
Michael L. Smith, LPT
- Physical Therapist
- Cordova, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4691
- Practice address
- 1650 Bonnie LN
Ste 104
Cordova, TN 38016-0517 - Phone
- (901) 756-1650
- Fax
- (901) 756-1396
- NPI assigned
- Jun 22, 2005
- Last updated
- Sep 15, 2008
- 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 | 4691 | TN | Primary |
Addresses
Primary practice location
1650 Bonnie LN
Ste 104
Cordova, TN 38016-0517
Mailing address
8110 Cordova Rd
Ste 107
Cordova, TN 38016-0520
Phone (901) 756-1650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Tennessee, HSC, College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8110 Cordova Rd
Cordova, TN 38016-0520
8110 Cordova Rd
Cordova, TN 38016-0521
Phone (901) 756-1650
Merit-based Incentive Payment System (MIPS)
- Final score
- 17.84 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 59.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3627 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Smith Clinic for Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Baptist Memorial Hospital-Desoto, Inc. | Past | Accepting new patients | |
| Chattanooga Orthopaedic Group PC | Physical Therapist | Past | Accepting new patients |
Locations
7037 Hacks Cross Rd
Olive Branch, MS 38654
Phone (662) 890-2615
1650 Bonnie Ln
Ste 104
Cordova, TN 38016
Phone (901) 756-1650
8110 Cordova Rd
Ste 107
Cordova, TN 38016
Phone (901) 756-1650
Organizations & group practices 3
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.
-
- Physical Therapist
- Cordova, TN
- NPI 1902823453
-
- Orthopaedic Surgery Physician
- Chattanooga, TN
- NPI 1548203821
Physical Therapist
-
dba Baptist Desoto Outpatient Pharmacy
- Community/Retail Pharmacy
- Southaven, MS
- NPI 1790669331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1700882933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8110 CORDOVA RD",
"address_2": "STE 107",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380160520",
"telephone_number": "901-756-1650",
"fax_number": "901-756-1396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 BONNIE LN",
"address_2": "STE 104",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380160517",
"telephone_number": "901-756-1650",
"fax_number": "901-756-1396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MICHAEL",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "4691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.