Healthcare Provider Details

I. General information

NPI: 1679410088
Provider Name (Legal Business Name): SMILEY THERAPY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9800 MEDLOCK BRIDGE RD
JOHNS CREEK GA
30097-5989
US

IV. Provider business mailing address

3640 CENTENNIAL SQ
PEACHTREE CORNERS GA
30092-2479
US

V. Phone/Fax

Practice location:
  • Phone: 470-564-8550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELI WEBB SMILEY
Title or Position: OWNER
Credential: DPT
Phone: 470-564-8550