Jerry Bentley Smith

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A00687 Issued in KY

Practice address

505 Prison Connector
Sandy Hook, KY 41171-7010

Phone

(606) 738-6133

NPI assigned

Sep 9, 2025

Last updated

Sep 9, 2025By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1437030186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 DELONG RD",
            "city": "HAGERHILL",
            "state": "KY",
            "postal_code": "412229015",
            "telephone_number": "606-738-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PRISON CONNECTOR",
            "city": "SANDY HOOK",
            "state": "KY",
            "postal_code": "411717010",
            "telephone_number": "606-738-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JERRY",
        "middle_name": "BENTLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A00687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lynn Rose, CSA
• Amber Dawn Sexton, DO
• Patricia G Short
• Meera Singh
• Celeste Smith
• Scarlet F Smith, LCSW
• Crystal Michelle Spencer, MSPT
• St. Claire Medical Center Inc. (St. Claire Regional Family Medicine-Sandy Hook)
• St. Claire Medical Center,Inc
• Heather Stafford

• Physical Therapy Assistant in Sandy Hook, KY
• Providers in Sandy Hook, KY by specialty
• Physical Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.