Active NPI
Maria Teresa Smith, PT
- Physical Therapist
- Woodstock, GA
National Provider Identifier
1942423835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT003833
- Practice address
- 7440 Highway 92
Woodstock, GA 30189-5235 - Phone
- (770) 212-2170
- Fax
- (770) 783-8639
- NPI assigned
- Apr 10, 2007
- 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 | PT003833 | GA | Primary |
Addresses
Primary practice location
7440 Highway 92
Woodstock, GA 30189-5235
Mailing address
790 Oak Trail Dr
Marietta, GA 30062-7502
Phone (770) 977-6866
Other practice location 1
3470 Florence Rd
Powder Springs, GA 30127-6026
Phone (770) 212-2170
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00970835F | Medicaid | GA | |
| 000970835A | Medicaid | GA | |
| 00970835G | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1942423835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 OAK TRAIL DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300627502",
"telephone_number": "770-977-6866",
"fax_number": "770-977-6887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7440 HIGHWAY 92",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301895235",
"telephone_number": "770-212-2170",
"fax_number": "770-783-8639"
}
],
"practiceLocations": [
{
"address_1": "3470 Florence Rd",
"address_purpose": "LOCATION",
"city": "Powder Springs",
"state": "GA",
"postal_code": "301276026",
"country_code": "US",
"telephone_number": "770-212-2170",
"fax_number": "770-783-8639",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "MARIA",
"middle_name": "TERESA",
"name_prefix": "Miss",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT003833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00970835F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000970835A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00970835G",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.