P Praxis·MD
● Active Type 1 · Individual

MISS Tasha Lynne Smith, PTA

Physical Therapy Assistant·Fayetteville, GA· NPI 1073892394 · Enumerated 2011 · 14 years on NPI
Smith is 1 of 15 physical therapy assistant providers in Fayetteville and 1 of 1124 in Georgia.
NPI age
14 years
Enumerated 2011-08-04
Primary specialty
Physical Therapy Assistant
Plus 1 subspecialty
Licensed in
GA, DE
2 states
Status
Active
No deactivations on record
Last NPPES update
2011-08-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1124 active physical therapy assistant providers in Georgia.

NPI age
14 years
↑ 5 yr above median (9 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
0
8% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-08Enumerated in NPPES
2011 2026

Where they practice

Practice location
110 Brandywine Blvd
Fayetteville, GA 302141500
📞 7704612928
Mailing address
110 Brandywine Blvd
Fayetteville, GA 302141500
📞 7704612928

Specialties

  • Physical Therapy Assistant Primary
    (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
    GA license #PTA002747DE license #J20000289 taxonomy 225200000X

Practice context

Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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