Jesse C. Smith Jr.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4778 Issued in SC

Practice address

2675 Court Dr
Gastonia, NC 28054-1478

Phone

(704) 824-7800

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physical Therapy Center,LLC

  dba Ambassador Physical Therapy

  • Physical Therapist
  • Monroe, NC
  • NPI 1053545988
  NPD
• Volk Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Fort Mill, SC
  • NPI 1326122094
  NPD
• GG Chiropractic LLC

  dba Piedmont Health Solutions

  • Chiropractor
  • Charlotte, NC
  • NPI 1538703137
  NPD (past)
• Lancaster Physical Therapy LLC.

  • Physical Therapist
  • Lancaster, SC
  • NPI 1679502363
  NPD (past)
• Southern States Physical Therapy LLC

  • Physical Therapist
  • Lancaster, SC
  • NPI 1285024836
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1013091859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 HAWKS CREEK PKWY",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297080026",
            "telephone_number": "443-880-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541478",
            "telephone_number": "704-824-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Highway 160 W",
            "address_2": "Suite 113",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297088548",
            "country_code": "US",
            "telephone_number": "803-802-0266",
            "fax_number": "803-802-0373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106A Woodland Dr",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "SC",
            "postal_code": "29720",
            "country_code": "US",
            "telephone_number": "803-283-8442",
            "fax_number": "803-286-4604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSE",
        "middle_name": "C.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19033",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Smith
• Devon Elizabeth Smith, FNP-C
• Donielle Javontae Smith
• Eva Szentpetery Smith, MD
• Gregory Philip Smith, COTA/L
• Joyce Lynn Smith, LCSW
• Maelonda Smith
• Mahagony Smith
• Mallory Smith, LCMHCA
• Nicholas Daniel Smith

• Physical Therapist in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.