Zachary Smith, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1315529 Issued in TX

Practice address

104 Driftwood Hills Way
Georgetown, TX 78633-2184

Phone

(254) 226-0588

Fax

(855) 232-8604

NPI assigned

Feb 4, 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)

Enrolled

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1811452832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 DRIFTWOOD HILLS WAY",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332184",
            "telephone_number": "254-226-0588",
            "fax_number": "855-232-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 DRIFTWOOD HILLS WAY",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332184",
            "telephone_number": "254-226-0588",
            "fax_number": "855-232-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ZACHARY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-04",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1315529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Satara-Marie Smith, LPC
• Sharon Annette Smith, RN
• Stephanie M Smith, LMT
• Stephen Lee Smith, DPM
• Susan Depoliti Smith, M.D.
• Smithville Hospital Authority (Georgetown Nursing and Transitional Care)
• Murray Alan Snook, MD
• Curt Snyder
• Michelle Yvonne Soares, LMSW
• Boback B Sobhani, M.D.

• Physical Therapist in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.