Individual provider Active NPI

Lindsay Smoak

  • Physical Therapist
  • Round Rock, TX
National Provider Identifier
1841779402
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2250 E Palm Valley Blvd Ste 20
Round Rock, TX 78665-4533
Phone
(512) 975-7199
Fax
(512) 861-3351
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT6465 MS
Physical Therapist 225100000X TX Primary

Addresses

Primary practice location

2250 E Palm Valley Blvd Ste 20
Round Rock, TX 78665-4533

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

506 Newbury Dr
Madison, MS 39110-4574
Phone (601) 832-2350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250122003721 TX Practitioner - Physical Therapist in Private Practice 9638608599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2250 E Palm Valley Blvd
Suite 205
Round Rock, TX 78665-4534
Phone (512) 975-7199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT6465MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Feb 24, 2025 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Feb 24, 2025 Accepting new patients

Locations

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

8900 S Congress Ave
Ste 400
Austin, TX 78745
Phone (210) 422-9203

1700 E Oltorf St
Ste 105
Austin, TX 78741
Phone (512) 652-0014

1245 Main St
Ste 230
Buda, TX 78610
Phone (512) 400-4437

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

20090 Marketplace Ave
Ste 130
Kyle, TX 78640
Phone (737) 248-0968

1825 Crystal Falls Pkwy
Ste 150
Leander, TX 78641
Phone (512) 817-5001

2606 W Pecan St
Ste 102
Pflugerville, TX 78660
Phone (512) 527-6298

2250 E Palm Valley Blvd
Ste 205
Round Rock, TX 78665
Phone (512) 975-7199

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1841779402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 E PALM VALLEY BLVD STE 20",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786654533",
            "telephone_number": "512-975-7199",
            "fax_number": "512-861-3351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 Newbury Dr",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391104574",
            "country_code": "US",
            "telephone_number": "601-832-2350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMOAK",
        "first_name": "LINDSAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6465",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.