Organization Active NPI

Susan Depoliti Smith

  • Physical Medicine & Rehabilitation Physician
  • Georgetown, TX
National Provider Identifier
1902814601
Registry record updated Nov 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
L7711 Issued in TX
Legal business name
SUSAN DEPOLITI SMITH
Practice address
227 Saddlebred LN
Georgetown, TX 78633-2316
Phone
(361) 985-1221
Fax
(361) 985-1295
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2025

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

Authorized official

Name
Susan Depoliti Smith, M.D.NPI 1467466250
Title
Sole Proprietor
Phone
(361) 985-1221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X L7711 TX Primary

Addresses

Primary practice location

227 Saddlebred LN
Georgetown, TX 78633-2316

Mailing address

227 Saddlebred LN
Georgetown, TX 78633-2316
Phone (361) 985-1221

Other identifiers 1

IdentifierTypeStateIssuer
L7711OtherTXLICENSE

National Provider Directory

National Provider Directory

Locations

613 Elizabeth St
Ste 203
Corpus Christi, TX 78404

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762560000000",
    "number": "1902814601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 SADDLEBRED LN",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332316",
            "telephone_number": "361-985-1221",
            "fax_number": "361-985-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 SADDLEBRED LN",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332316",
            "telephone_number": "361-985-1221",
            "fax_number": "361-985-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN DEPOLITI SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "DEPOLITI",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "361-985-1221",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "L7711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "L7711",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.