Jimmy Dale Smith, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

3124138 Issued in TX

Practice address

11751 Alta Vista Rd Ste 301
Fort Worth, TX 76244-6443

Phone

(817) 337-3400

NPI assigned

Jun 10, 2019

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

State licenses

Practice roles

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.

• Core Rehabilitation

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
  • NPI 1871043646
  NPD (past)
• Core Rehabilitation Group

  • Physical Therapy Clinic/Center
  • Bedford, TX
  • NPI 1770754558

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1790344265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CHISHOLM TRL",
            "city": "KRUM",
            "state": "TX",
            "postal_code": "762497178",
            "telephone_number": "940-736-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11751 ALTA VISTA RD STE 301",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446443",
            "telephone_number": "817-337-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JIMMY",
        "middle_name": "DALE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "3124138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey M Smith, LPC
• Jeremy Smith, RN
• Jeremy Smith
• Jesse E Smith, MD
• Jessica Smith
• Jo Bartell Smith, LPA
• John Smith, MMFT
• John Houston Smith, MD10
• Jordan Smith
• Judson P Smith III, MD PA

• Orthopedic Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.