Jasmine Martin Smith, PT, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT4561 Issued in MS

Practice address

105 Lexington Dr
H
Madison, MS 39110-6645

Phone

(601) 910-7300

NPI assigned

Apr 15, 2011

Last updated

Nov 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healing Hands Rehabilitation Services LLCGroup PAC ID 3072881267, 3 clinicians

Practice addresses (Care Compare)

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.

• Healing Hands Rehabilitation Services, LLC

  • Physical Therapy Clinic/Center
  • Madison, MS
  • NPI 1346629920
  Medicare reassignment Care Compare group NPD Authorized official
• Aegis Group Practice LLC

  • Physical Therapist
  • Ridgeland, MS
  • NPI 1881271302
  Medicare reassignment NPD
• Fitness Clinic Wellness

  • Physical Therapist
  • Jackson, MS
  • NPI 1912352022
  Medicare reassignment NPD
• Healing Hands Rehabilitation Services, LLC

  • Behavior Analyst
  • Gluckstadt, MS
  • NPI 1609691963
  NPD Authorized official
• Waymaker Enterprises, LLC

  • Non-emergency Medical Transport (VAN)
  • Madison, MS
  • NPI 1215558747
  NPD (past) Authorized official
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030
  NPD

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1679863245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LEXINGTON DR",
            "address_2": "STE H",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106646",
            "telephone_number": "601-910-7300",
            "fax_number": "601-910-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LEXINGTON DR",
            "address_2": "H",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106645",
            "telephone_number": "601-910-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JASMINE",
        "middle_name": "MARTIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-15",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MS",
            "license": "PT4561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00209229",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sleepworks, Inc.
• Smartsmile Orthodontics, PLLC
• Amerial Smith
• Derrick Brice Smith, DPT
• Grace Smith
• Keith Letiste Smith, PHARMD
• Philip C Smith, M.D.
• Richard L. Smith, DMD
• William H. Smith Jr., M.D.
• James Adam Smitherman, MD

• Physical Medicine & Rehabilitation Physician in Madison, MS
• Providers in Madison, MS by specialty
• Physical Medicine & Rehabilitation Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.