Tyler Stout Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

444 One Eleven PL
Cookeville, TN 38506-4358

Phone

(931) 525-6655

NPI assigned

Aug 12, 2014

Last updated

Aug 12, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1770992943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2874 GRANVILLE HWY",
            "city": "GAINESBORO",
            "state": "TN",
            "postal_code": "385626180",
            "telephone_number": "931-267-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 ONE ELEVEN PL",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385064358",
            "telephone_number": "931-525-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TYLER",
        "middle_name": "STOUT",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Smith, FNP-BC
• Sullivan K Smith, MD
• Tara Beth Smith, OTR/L
• Tera Smith, FNP
• Trueman David Smith, M.D.
• SNH Tenn Tenant LLC (Morningside of Cookeville)
• Adym Alexzander Solgot
• Jessica Some, PHARM.D.
• Meghan Soop, RN
• Christin Marissa Sorrrell

• Physical Therapy Assistant in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.