Jessica Smith

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4188 Issued in MS

Practice address

120 Veterans Dr
Oxford, MS 38655-3578

Phone

(662) 234-9898

NPI assigned

Jun 26, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Louisville, MS
  • NPI 1952732448
  NPD (past)
• Fulton Rehabilitation Services, PA

  • Physical Therapy Clinic/Center
  • Fulton, MS
  • NPI 1427130798
  NPD (past)

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1235579020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 HIGHWAY 98 W",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396669132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 VETERANS DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386553578",
            "telephone_number": "662-234-9898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 S Adams St",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "MS",
            "postal_code": "388438952",
            "country_code": "US",
            "telephone_number": "662-862-4104",
            "fax_number": "662-862-4162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "4188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyse Nichole Smith, MD
• Erin Smith, NURSE PRACTITIONER
• Holly Berry Smith, MPT
• Jaden Beth Smith, LMSW
• Jene' White Smith, APN
• Katherine Chaffin Smith, CFNP
• Kearra Smith, BSW, PCCSS
• Patty Smith
• Robert Brent Smith, RPH
• Ronald Blake Smith, MD

• Physical Therapy Assistant in Oxford, MS
• Providers in Oxford, MS by specialty
• Physical Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.