MR. JUSTIN RYAN SMALLWOOD (PT) – Physical Therapist, NPI 1679577050

MR. JUSTIN RYAN SMALLWOOD (PT) is a healthcare provider. based in Lubbock, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT1113686 (TX). The NPI Number for MR. JUSTIN RYAN SMALLWOOD (PT) is 1679577050

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MR. JUSTIN RYAN SMALLWOOD (PT)
NPI
1679577050
Phone
(806) 780-2329
Address
4138 19th St
Enumeration Date
13 June 2005
Last Update Date
28 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067802329
Graduation Year
1997 (29 years ago)
PAC ID
7719965144
Group Practice PAC ID
7315836053
Professional Enrollment ID
I20040712000511
Address ID
TX794072403LU4138XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for MR. JUSTIN RYAN SMALLWOOD (PT)

  • 4138 19th St

    Lubbock, TX 794072403

    Phone: (806) 780-2329

    Fax: (806) 780-2330

    Type: Location

  • Wellness Today, 2431, South Loop 289, Lubbock, Texas, 79423, United States

    LUBBOCK, TX 794231519

    Phone: (806) 771-8008

    Fax: (806) 771-8009

    Type: Mailing

  • 1506, South Sunset Avenue, Littlefield, Lamb County, Texas, 79339, United States

    LITTLEFIELD, TX 793394899

    Phone: (806) 385-3746

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040712000511IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes701107$0
97150Therapy procedure in a group setting321105$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes16858$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care8637$0
97140Therapy procedure using manual technique, each 15 minutes6929$0
View full utilization report →

Insurance plans in this area (ZIP 79407)

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Provider's Procedures

MR. JUSTIN RYAN SMALLWOOD (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYTX97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes36671
PHYSICAL THERAPYTX97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes5527

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315836053View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeLA
-TX
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeGA
-TX

Reviews

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Frequently asked questions

What is the registry number for MR. JUSTIN RYAN SMALLWOOD (PT)?
The registry entry for MR. JUSTIN RYAN SMALLWOOD (PT) shows NPI 1679577050.
Quick check: is MR. JUSTIN RYAN SMALLWOOD (PT) active?
Public NPPES data shows MR. JUSTIN RYAN SMALLWOOD (PT) with an active NPI status right now.
What services align with MR. JUSTIN RYAN SMALLWOOD (PT)'s listing?
MR. JUSTIN RYAN SMALLWOOD (PT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit MR. JUSTIN RYAN SMALLWOOD (PT) in Lubbock, Texas?
For routing, start with Lubbock, Texas for MR. JUSTIN RYAN SMALLWOOD (PT), then verify phone and hours locally.
Why is information missing for MR. JUSTIN RYAN SMALLWOOD (PT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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