Eric Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12058 Issued in TN

Practice address

675 S Jefferson Ave Ste C
Cookeville, TN 38501-0949

Phone

(931) 528-8822

Fax

(931) 528-8825

NPI assigned

Aug 22, 2018

Sex

Male

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

Enrolled in TN, AR2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Reaper Physical Therapy IncGroup PAC ID 5395637383, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Reaper Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Searcy, AR
  • NPI 1215973342

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Tennessee Therapy & Balance Center, LLC

  • Physical Therapy Clinic/Center
  • Cookeville, TN
  • NPI 1942624341
  Medicare reassignment NPD

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1962983502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 S JEFFERSON AVE STE C",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010949",
            "telephone_number": "931-528-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 S JEFFERSON AVE STE C",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010949",
            "telephone_number": "931-528-8822",
            "fax_number": "931-528-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIC",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-22",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blakelee Paige Smith, MSN, APRN, AGPCNP-BC
• Brandon L. Smith, DDS
• Clarence William Smith
• Colin Garrett Smith, D.O.
• Dana Michelle Smith
• Heather Smith, LPC-MHSP
• Jennifer Powers Smith, RDN OR RD
• Jorie Smith, RBT
• Julie A Smith, APRN, BC
• Julie Booher Smith, FNP

• Physical Therapist in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.

Verify at the official NPI Registry.