Jackson Smith, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501302079 Issued in MI

Practice address

29121 Northwestern Hwy Ste a
Southfield, MI 48034-5705

Phone

(248) 599-1166

NPI assigned

Feb 14, 2023

Sex

Male

Sole proprietor

No

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

KRS of Clawson LLCGroup PAC ID 2163527276, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.18 of 100Reported as group

Quality

74.03

Improvement activities

40

Cost

64.88

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• KRS of Clawson LLC

  dba Healthquest Physical Therapy & Wellness Ctr

  • Physical Therapy Clinic/Center
  • Clawson, MI
  • NPI 1194840223
  Medicare reassignment Care Compare group NPD
• HQ of Southfield LLC

  • Physical Therapist
  • Southfield, MI
  • NPI 1275021370
  NPD

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1700583374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 STAR BATT DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29121 NORTHWESTERN HWY STE A",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345705",
            "telephone_number": "248-599-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JACKSON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily D Smith, MD
• Gabrielle Smith
• Gareisha Smith
• Isabella Smith
• Isaiah R Smith
• Jacqueline Elizabeth Smith, AGPCNP-BC
• Jalisa Smith
• James Bernard Smith Jr., M.D., PH.D.
• Jasma Smith
• Johnny L Smith, M.S.

• Physical Therapist in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.