Holly Berry Smith, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3820 Issued in MS

Practice address

2580 Jackson Ave W
Suite 38
Oxford, MS 38655-5489

Phone

(662) 232-8949

Fax

(662) 232-8950

NPI assigned

Oct 6, 2009

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

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": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1902131196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 JACKSON AVE W",
            "address_2": "SUITE 38",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555489",
            "telephone_number": "662-232-8949",
            "fax_number": "662-232-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 JACKSON AVE W",
            "address_2": "SUITE 38",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555489",
            "telephone_number": "662-232-8949",
            "fax_number": "662-232-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HOLLY",
        "middle_name": "BERRY",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Clay Smith, MS
• David Barton Smith, PHARMD
• Elizabeth-Anne Lee Smith, BA
• Elyse Nichole Smith, MD
• Erin Smith, NURSE PRACTITIONER
• Jaden Beth Smith, LMSW
• Jene' White Smith, APN
• Jessica Smith
• Katherine Chaffin Smith, CFNP
• Kearra Smith, BSW, PCCSS

• Physical Therapist in Oxford, MS
• Providers in Oxford, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.