Active NPI
Michael Smith, PT, DPT, CSCS
- Physical Therapist
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012594
- Practice address
- 5255 Snapfinger Park Dr
Decatur, GA 30035-4084 - Phone
- (770) 322-7003
- NPI assigned
- Sep 6, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012594 | GA | Primary |
Addresses
Primary practice location
5255 Snapfinger Park Dr
Decatur, GA 30035-4084
Mailing address
2916 Clairmont Rd NE
Apt 3203
Brookhaven, GA 30329-4441
Phone (423) 413-9261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT012594 | Other | GA | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2415 McCallie Ave
Chattanooga, TN 37404-3322
Phone (423) 624-2696
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 92.6
- Promoting interoperability
- 93.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11853 | TN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| PT012594 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Rehabilitation & Consulting Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Advance Rehabilitation & Consulting Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Chattanooga Orthopaedic Group, PC | Current | Accepting new patients | |
| Chattanooga Orthopaedic Group PC | Physical Therapist | Current | Accepting new patients |
Locations
7423 Adairsville Hwy
Adairsville, GA 30103
Phone (770) 373-9315
1422 Green Rd
Ste N
Chatsworth, GA 30705
Phone (706) 695-9699
1000 Johnson Ferry Rd
Ste A115
Marietta, GA 30068
Phone (404) 367-2085
2415 McCallie Ave
Chattanooga, TN 37404
Phone (423) 629-4395
Interoperability endpoints
- michael.smith.1@519.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Chattanooga, TN
- NPI 1548203821
Physical Therapist
-
- Physical Therapist
- Saint Marys, GA
- NPI 1235434283
-
- Durable Medical Equipment & Medical Supplies
- Jasper, GA
- NPI 1164115671
Physical Therapist
-
- Orthopaedic Surgery Physician
- Dayton, TN
- NPI 1013899038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1891242046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2916 CLAIRMONT RD NE",
"address_2": "APT 3203",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303294441",
"telephone_number": "423-413-9261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5255 SNAPFINGER PARK DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300354084",
"telephone_number": "770-322-7003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MICHAEL",
"credential": "PT, DPT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-06",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012594",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "PT012594",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.