Individual provider Active NPI

David Smith

  • Physical Therapist
  • The Woodlands, TX
National Provider Identifier
1720157472
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
6767 Lake Woodlands Dr Ste F
The Woodlands, TX 77382-2566
Phone
(281) 364-1122
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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 Primary

Addresses

Primary practice location

6767 Lake Woodlands Dr Ste F
The Woodlands, TX 77382-2566

Mailing address

4949 Hamilton Wolfe Rd Apt 6104
San Antonio, TX 78229-4346

Other practice location 1

2500 Fondren Rd Ste 302
Houston, TX 77063-2313
Phone (832) 252-8055

Other practice location 2

750 Fish Creek Thoroughfare Ste 100
Montgomery, TX 77316-6966
Phone (936) 272-0790

Other practice location 3

20639 Kuykendahl Rd Ste 200
Spring, TX 77379-3587
Phone (832) 698-0111

Other identifiers 1

IdentifierTypeStateIssuer
1169838OtherTXLICENSE#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230818000622 TX Practitioner - Physical Therapist in Private Practice 9133581432 Reassigns benefits to 1 organization
Practice locations: The Woodlands, TX

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Ridge Orthopaedics and Sports Medicine LLCGroup PAC ID 8325089055, 43 clinicians

Practice addresses (Care Compare)

6767 Lake Woodlands Dr
Suite F
The Woodlands, TX 77382-2566
Phone (281) 364-1122

Hospital & facility affiliations

  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847

Merit-based Incentive Payment System (MIPS)

Final score
81.05 of 100Reported as group
Quality
67.43
Promoting interoperability
100
Improvement activities
40
Cost
69.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Ridge Orthopaedics and Sports Medicine, LLC Current Accepting new patients
Sterling Ridge Orthopaedics and Sports Medicine, LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

750 Fish Creek Thoroughfare
Ste 100
Montgomery, TX 77316
Phone (936) 272-0790

20639 Kuykendahl Rd
Ste 200
Spring, TX 77379
Phone (832) 698-0111

6767 Lake Woodlands Dr
#F
The Woodlands, TX 77382
Phone (281) 364-1122

Interoperability endpoints

  • Direct secure messaging: david.smith.1@1066.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1720157472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 HAMILTON WOLFE RD APT 6104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 LAKE WOODLANDS DR STE F",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822566",
            "telephone_number": "281-364-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Fondren Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770632313",
            "country_code": "US",
            "telephone_number": "832-252-8055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Fish Creek Thoroughfare Ste 100",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "TX",
            "postal_code": "773166966",
            "country_code": "US",
            "telephone_number": "936-272-0790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20639 Kuykendahl Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773793587",
            "country_code": "US",
            "telephone_number": "832-698-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "1169838",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.