Individual provider Active NPI

Tracee Latashia Smith Jones, PT

  • Physical Therapist
  • Blythewood, SC
National Provider Identifier
1043894058
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10781 Issued in SC
Practice address
230 Redhawk Way Ste 110
Blythewood, SC 29016-9286
Phone
(803) 314-5600
Fax
(803) 314-5601
NPI assigned
May 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10781 SC Primary
Physical Therapist 225100000X CP004768T GA

Addresses

Primary practice location

230 Redhawk Way Ste 110
Blythewood, SC 29016-9286

Mailing address

PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 314-5600

Other practice location 1

6000 Hillandale Dr Ste 145
Stonecrest, GA 30058-4860
Phone (678) 418-8072

Other names 1

  • Tracee Latashia Smith Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tjones204774@direct.lexmed.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240401001033 SC Practitioner - Physical Therapist in Private Practice 0648679209 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

230 Redhawk Way
Suite 110
Blythewood, SC 29016-9286
Phone (803) 314-5600

7585 Saint Andrews Rd
Irmo, SC 29063-2806
Phone (803) 749-5031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Feb 19, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Mar 2, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Mar 2, 2025 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Mar 2, 2025 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Feb 19, 2024 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Mar 2, 2025 Accepting new patients
Dekalb Comprehensive Physical Therapy Limited Partnership PastSince May 4, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

7955 N Kings Hwy
Ste 330
Myrtle Beach, SC 29572
Phone (843) 945-1815

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

1672 N Main St
Ste 11
Summerville, SC 29486
Phone (843) 289-1456

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1043894058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069",
            "telephone_number": "803-314-5600",
            "fax_number": "803-314-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 REDHAWK WAY STE 110",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290169286",
            "telephone_number": "803-314-5600",
            "fax_number": "803-314-5601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Hillandale Dr Ste 145",
            "address_purpose": "LOCATION",
            "city": "Stonecrest",
            "state": "GA",
            "postal_code": "300584860",
            "country_code": "US",
            "telephone_number": "678-418-8072",
            "fax_number": "678-518-0137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "TRACEE",
        "middle_name": "LATASHIA SMITH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10781",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP004768T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tjones204774@direct.lexmed.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "230 Redhawk Way Ste 110",
            "city": "Blythewood",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290169286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRACEE",
            "last_name": "SMITH",
            "middle_name": "LATASHIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blythewood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.