Benjamin Dale Smith

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017935 Issued in GA

Practice address

230 S Clark Rd
Cedar Hill, TX 75104-2750

Phone

(972) 291-7877

NPI assigned

Sep 6, 2025

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

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

{
    "created_epoch": "1757116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757116800000",
    "number": "1871473058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HIDDEN CREEK DR",
            "city": "MONTICELLO",
            "state": "GA",
            "postal_code": "310644198",
            "telephone_number": "678-502-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S CLARK RD",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042750",
            "telephone_number": "972-291-7877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Williams Ward Rd",
            "address_purpose": "LOCATION",
            "city": "Springtown",
            "state": "TX",
            "postal_code": "760826028",
            "country_code": "US",
            "telephone_number": "817-755-5116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BENJAMIN",
        "middle_name": "DALE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-06",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2025; 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.