Active NPI
Candace M Smith, PT
- Physical Therapist
- Youngsville, LA
National Provider Identifier
1902032329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11996R
- Practice address
- 115 Grandview Terrace Dr
Youngsville, LA 70592-5536 - Phone
- (601) 896-7873
- NPI assigned
- Jun 1, 2009
- Sex
- Female
- 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 | 11996R | LA | Primary |
Addresses
Primary practice location
115 Grandview Terrace Dr
Youngsville, LA 70592-5536
Mailing address
115 Grandview Terrace Dr
Youngsville, LA 70592-5536
Phone (601) 896-7873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
115 Grandview Terrace Dr
Youngsville, LA 70592-5536
5520 Johnston St
Suite K
Lafayette, LA 70503-5138
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11996R | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Totalcare Rehab LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Practitioner
- Youngsville, LA
- NPI 1083567192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1902032329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 GRANDVIEW TERRACE DR",
"city": "YOUNGSVILLE",
"state": "LA",
"postal_code": "705925536",
"telephone_number": "601-896-7873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 GRANDVIEW TERRACE DR",
"city": "YOUNGSVILLE",
"state": "LA",
"postal_code": "705925536",
"telephone_number": "601-896-7873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CANDACE",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-01",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "11996R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngsville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.