Active NPI
Taylor R Smith, D.P.T.
- Physical Therapist
- Thomasville, GA
National Provider Identifier
1780100172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013051
- Practice address
- 1203 E Jackson St
Thomasville, GA 31792 - Phone
- (229) 228-4155
- Fax
- (229) 226-2321
- NPI assigned
- Aug 17, 2017
- Sex
- Female
- 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 | PT013051 | GA | Primary |
Addresses
Primary practice location
1203 E Jackson St
Thomasville, GA 31792
Mailing address
P.O. Box 2476
Thomasville, GA 31799-4748
Phone (229) 228-4155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT013051 | Other | GA | PHYSICAL THERAPY |
Other names 1
- Taylor Benton
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT013051 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grady General Hospital | Past | Accepting new patients | |
| Thomasville Physical Therapy Inc | Past | Accepting new patients | |
| John D Archbold Memorial Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/66097e3b-7cef-4b96-acca-38bfaae85903/
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Cairo, GA
- NPI 1013961507
-
- General Acute Care Hospital
- Thomasville, GA
- NPI 1194779702
-
- Physical Medicine & Rehabilitation Physician
- Thomasville, GA
- NPI 1598816290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1780100172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 2476",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317994748",
"telephone_number": "229-228-4155",
"fax_number": "229-226-2321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 E JACKSON ST",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "31792",
"telephone_number": "229-228-4155",
"fax_number": "229-226-2321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TAYLOR",
"middle_name": "R",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-17",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT013051",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY",
"identifier": "PT013051",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TAYLOR",
"last_name": "BENTON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.