Jessica Smith

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P23458 Issued in NC

Practice address

502 W King St
Kings Mountain, NC 28086-3362

Phone

(855) 983-0488

Fax

(704) 240-3500

NPI assigned

Aug 12, 2024

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

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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.

• Kidology, Inc

  • Physical Therapist
  • Lincolnton, NC
  • NPI 1730591991
  Medicare reassignment NPD

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1700617586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 LOMAR TER",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217713909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W KING ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863362",
            "telephone_number": "855-983-0488",
            "fax_number": "704-240-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitsuko P. Shannon, MD
• Leah Catherine Shaw, PA
• Harmohan Singh, M.D.
• Lisa S. Sisk, CNM
• Amy Lynn Slycord, LDO
• Michael J. Smith, MD
• SNH SE Kings MTN Tenant LLC
• Southern Clinics and Urgent Care PA
• Speak Your Peace Counseling, Coaching, and Consulting PLLC
• Melanie Hough Stevens, PHARMD

• Physical Therapist in Kings Mountain, NC
• Providers in Kings Mountain, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.