Richard Shay Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1096931 Issued in TX

Practice address

916 E Highway 377
Granbury, TX 76048-1400

Phone

(817) 480-3798

NPI assigned

Dec 9, 2010

Sex

Male

Sole proprietor

Yes

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 TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Something Amazing Home Therapy, LLC

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
  • NPI 1104457944

  TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1992008114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 BOYD AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 E HIGHWAY 377",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481400",
            "telephone_number": "817-480-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RICHARD",
        "middle_name": "SHAY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-09",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1096931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Donovan Smith, D.M.D.
• Charles Brooks Smith, M.D.
• Jeffrey Scott Smith, MD
• Jennifer Smith, M.D.
• Martha Smith, CFNP
• Tammy J Smith, P.T.
• Susan Lynn Smithwick, APRN, FNP-C
• Molly Solis, M.S., CCC-SLP
• Erin Solomon, PT, DPT
• Claudia P Southern, LPC

• All providers in Granbury, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.