Traci Michelle Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH 2973 Issued in AL

Practice address

200 Montgomery Hwy
Suite 125
Birmingham, AL 35216

Phone

(205) 978-4969

Fax

(205) 978-4964

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740379700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 FAIRBANKS CIRCLE",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "35043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MONTGOMERY HWY",
            "address_2": "SUITE 125",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35216",
            "telephone_number": "205-978-4969",
            "fax_number": "205-978-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRACI",
        "middle_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH 2973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-36540",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas D Smith Jr., LMSW
• Thomas Eugene Smith
• Thomasyne Hill Smith, CCC-SLP
• Timothy Smith
• Tinamarie Smith
• Tyrus Smith
• Valerie Michelle Smith, PA-C
• Veronica Smith
• Victoria Catherine Smith, MD
• Walter Ryan Smith, MD

• Physical Therapist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.