Addison Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ADDISON PHYSICAL THERAPY

Practice address

30510 Highway 278
Addison, AL 35540-2139

Phone

(256) 338-6230

NPI assigned

Jun 20, 2019

Last updated

Jun 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Seth Douglas Smothers, MSPTNPI 1043374275

Title

Physical Therapist

Phone

(256) 338-6230

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Seth D Smothers, RPT

  • Physical Therapist
  • Addison, AL
  • NPI 1043374275
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1801456801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "ADDISON",
            "state": "AL",
            "postal_code": "355400155",
            "telephone_number": "256-338-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30510 HIGHWAY 278",
            "city": "ADDISON",
            "state": "AL",
            "postal_code": "355402139",
            "telephone_number": "256-338-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDISON PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "SMOTHERS",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "256-338-6230",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "PTH4006",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Addison Health Center
• Haley Colwell
• Deg Pharmacy Inc (Addison Discount Pharmacy)
• Whitney Dyer
• Kara Everett
• David Edward Godbee, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.