Individual provider Active NPI

Gale T Smith, PT

  • Physical Therapist
  • Warner Robins, GA
National Provider Identifier
1770680639
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTO12965 Issued in GA
Practice address
905 Arrowhead TRL
Warner Robins, GA 31088-5390
Phone
(478) 333-6363
NPI assigned
Sep 20, 2006
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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 PTO12965 GA Primary

Addresses

Primary practice location

905 Arrowhead TRL
Warner Robins, GA 31088-5390

Mailing address

108 Gardenia Way
Bonaire, GA 31005-3547
Phone (938) 283-3186

Other practice location 1

68 Hospital Rd
Sylva, NC 28779-2722
Phone (828) 586-7000

Other identifiers 2

IdentifierTypeStateIssuer
7211935MedicaidNC
3286OtherNCLICENSE NUMBER

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTO12965GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Senseabilities, Inc. CurrentSince May 26, 2024 Accepting new patients

Locations

905 Arrowhead Trl
Warner Robins, GA 31088
Phone (478) 333-6363

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1770680639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 GARDENIA WAY",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310053547",
            "telephone_number": "938-283-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ARROWHEAD TRL",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885390",
            "telephone_number": "478-333-6363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Sylva",
            "state": "NC",
            "postal_code": "287792722",
            "country_code": "US",
            "telephone_number": "828-586-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GALE",
        "middle_name": "T",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PTO12965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211935",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "3286",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.