Active NPI
David Paul Smelser, PT, DPT
- Physical Therapist
- Roswell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012611
- Practice address
- 930 Woodstock Rd
Suite 310
Roswell, GA 30075-2220 - Phone
- (770) 998-6636
- Fax
- (770) 998-6646
- NPI assigned
- Sep 9, 2016
- 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 | PT012611 | GA | Primary |
Addresses
Primary practice location
930 Woodstock Rd
Suite 310
Roswell, GA 30075-2220
Mailing address
930 Woodstock Rd
Suite 310
Roswell, GA 30075-2220
Phone (770) 998-6636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161011003098 | GA | Practitioner - Physical Therapist in Private Practice | 4486942216 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4343 Shallowford Rd
Suite G3
Marietta, GA 30062-5021
Phone (770) 449-5152
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Performance Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
4343 Shallowford Rd
Ste G3
Marietta, GA 30062
Phone (770) 449-5152
4343 Shallowford Rd
Ste G3
Marietta, GA 30062
Phone (678) 626-7207
4343 Shallowford Rd
Ste 630
Marietta, GA 30062
Phone (770) 449-5152
Organizations & group practices 1
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": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1720535487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 WOODSTOCK RD",
"address_2": "SUITE 310",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752220",
"telephone_number": "770-998-6636",
"fax_number": "770-998-6646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 WOODSTOCK RD",
"address_2": "SUITE 310",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752220",
"telephone_number": "770-998-6636",
"fax_number": "770-998-6646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMELSER",
"first_name": "DAVID",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-09",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.