JIMMY DALE SMITH (NPI# 1790344265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790344265 |
| Entity Type | Individual |
| Full Name | JIMMY DALE SMITH |
| Credential | PT, DPT |
| Practice Address |
11751 Alta Vista Rd Ste 301 Fort Worth TX 76244-6443 |
| Mailing Address |
311 Chisholm Trl Krum TX 76249-7178 |
| Practice Telephone | 8173373400 |
| Mailing Telephone | 9407361815 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
3124138 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790112175 | Jimmy Lee Smith Jr. | Counselor | 194 Holiday Ln, Newton Grove, NC 28366-6295 | 2013-10-01 |
| 1386731016 | Jimmy L. Smith Jr. | Chiropractor | 130 River Landing Dr, Suite 12d, Charleston, SC 29492-7440 | 2006-10-06 |
| 1861813453 | Jimmy Smith | Counselor | 1506 N Greenville Ave, Suite 200, Allen, TX 75002-8622 | 2013-12-26 |
| 1285999029 | Jimmy D Smith | Nurse Anesthetist, Certified Registered | 1 Childrens Way # 203, Little Rock, AR 72202-3500 | 2012-07-09 |
| 1649394081 | Jimmy Lawrence Smith | Case Manager/Care Coordinator | 6501 W 12th St, Little Rock, AR 72204-1511 | 2007-03-19 |
| 1164571451 | Jimmy J Smith | Chiropractor | 551 2nd St, Traer, IA 50675-1138 | 2007-01-09 |
| 1598717894 | Jimmy Shaun Smith | Emergency Medicine | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2006-05-16 |
| 1629027925 | Jimmy D Smith Jr. | Nurse Practitioner | 726 Gail Gardner Way, Prescott, AZ 86305-2314 | 2006-05-06 |
| Street Address |
11751 ALTA VISTA RD STE 301 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244-6443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902361470 | Mitchell Glenn Rausch | Physical Therapist | 11751 Alta Vista Rd Ste 301, Fort Worth, TX 76244-6443 | 2019-02-08 |
| 1780296228 | Allan Joseph Valdez | Physical Therapist | 11751 Alta Vista Rd Ste 301, Fort Worth, TX 76244-6443 | 2020-08-17 |
| 1316596539 | Kimberly Leschber | Physical Therapist | 11751 Alta Vista Rd Ste 301, Fort Worth, TX 76244-6443 | 2019-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| Find all providers in zip 76244 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902361470 | Mitchell Glenn Rausch | Physical Therapist | 11751 Alta Vista Rd Ste 301, Fort Worth, TX 76244-6443 | 2019-02-08 |
| 1881832186 | Kristina Lynch Martin | Physical Therapist | 5950 Bryant Irvin Rd Ste 200, Fort Worth, TX 76132-4230 | 2009-01-26 |
| 1942814926 | Whitney Goldie Mills | Physical Therapist | 4750 Bryant Irvin Rd N, Fort Worth, TX 76107-7641 | 2020-09-07 |
| 1104325398 | Laura Record | Physical Therapist | 6407 Southwest Blvd, Fort Worth, TX 76132 | 2018-02-02 |
| 1720530488 | Icats Medical Consultants LLC | Physical Therapist | 4441 Bryant Irvin Rd N, Fort Worth, TX 76107-7338 | 2016-10-28 |
| 1871958546 | Aaron Miller | Physical Therapist | 4750 Bryant Irvin Rd N, Fort Worth, TX 76107-7641 | 2015-12-23 |
| 1457728230 | Premier Rehab Physical Therapy and Aquatics | Physical Therapist | 2720 Western Center Blvd, Suite 312, Fort Worth, TX 76131-4302 | 2015-08-27 |
| 1184009474 | Cpt Specialty Group LLC | Physical Therapist | 4750 Bryant Irvin Rd N, Fort Worth, TX 76107-7641 | 2015-07-28 |
| 1215336854 | Zach Sedino | Physical Therapist | 5411 Basswood Blvd Ste 225, Fort Worth, TX 76137-4479 | 2014-08-20 |
| 1053736843 | Christina Garcia | Physical Therapist | 4750 Bryant Irvin Rd N, Fort Worth, TX 76107-7641 | 2014-03-03 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
Please comment or provide details below to improve the information on JIMMY DALE SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.