Healthcare Provider Details

I. General information

NPI: 1467376046
Provider Name (Legal Business Name): THOMAS GREGORY SMIGLA DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: TOMMY SMIGLA

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10102 S MAIN ST STE S
ARCHDALE NC
27263-3183
US

IV. Provider business mailing address

112 WALMART SUPERCENTER
SILER CITY NC
27344-6756
US

V. Phone/Fax

Practice location:
  • Phone: 336-307-3015
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP25116
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: