Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Troy Tanner Smith

Individual provider Physical Therapist · NPI 1417697715

Troy Tanner Smith is a Physical Therapist in Private Practice in Saratoga, California. Qualified in 2021, 5 years ago. Practices with Optm Physical Therapy of Saratoga Inc, a 14-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022

Practice location Address checks out

12930 Saratoga Ave Ste B5
Saratoga, CA 95070-4661
Phone: (408) 763-4905
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 301872 (CA)

Record details

NPI number1417697715
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2022
Last updated in NPPESApril 1, 2022
Certification dateMarch 30, 2022
Mailing address12930 Saratoga Ave Ste B5, Saratoga, CA 95070-4661

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Optm Physical Therapy Of Saratoga Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saratoga