Autumn B Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12358 Issued in TN

Practice address

1869 Old Trenton Rd
Clarksville, TN 37040-6734

Phone

(931) 201-9757

NPI assigned

Aug 16, 2019

Sex

Female

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

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Empower Pelvic Therapy LLC

  • Physical Therapy Clinic/Center
  • Clarksville, TN
  • NPI 1063250959
  NPD Authorized official
• High Pointe Rehab LLC

  • Physical Therapy Clinic/Center
  • Clarksville, TN
  • NPI 1912097239
  NPD (past)
• Star Physical Therapy LP

  • Rehabilitation Clinic/Center
  • Bolivar, TN
  • NPI 1417404351
  NPD (past)
• Star Physical Therapy LP

  • Physical Therapist
  • Caruthersville, MO
  • NPI 1073375861
  NPD (past)

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1821644626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 OLD TRENTON RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406734",
            "telephone_number": "931-201-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 OLD TRENTON RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406734",
            "telephone_number": "931-201-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AUTUMN",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jovan Marcel Smallwood
• Kelly M Smart, P.A
• Alexandra Childs Smith, PSY.D.
• Alexis Smith, COTA/L
• Angela Jeanne Smith, LPN
• Barbara Ellen Smith, PA
• Brandon Joshua Smith, LAC
• Brittney Smith
• Caenan Smith
• Carrie Renee Smith, PA-C

• Physical Therapist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.