Derrick Brice Smith, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5718 Issued in MS

Practice address

7521 Old Canton Rd
Madison, MS 39110-8669

Phone

(601) 856-8041

Fax

(866) 404-9501

NPI assigned

Aug 4, 2016

Last updated

Jun 7, 2023By the provider in NPPES

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 MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inmotion Rehab, LLCGroup PAC ID 8921300575, 8 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inmotion Rehab, LLC

  • Physical Therapy Clinic/Center
  • Jackson, MS
  • NPI 1699145490
  Medicare reassignment Care Compare group NPD
• Pure Health Therapy Services, LLC

  • Physical Therapy Clinic/Center
  • Madison, MS
  • NPI 1235845561

  Physical Therapist

  Medicare reassignment NPD
• Care Therapy Solutions

  • Physical Therapist
  • Jackson, MS
  • NPI 1164002432
  NPD
• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Crystal Springs, MS
  • NPI 1801333521
  NPD (past)
• Inmotion Rehab LLC

  • Physical Therapy Assistant
  • Jackson, MS
  • NPI 1801435334
  NPD (past)

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1740734029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 OLD CANTON RD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108669",
            "telephone_number": "601-856-8041",
            "fax_number": "866-404-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7521 OLD CANTON RD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108669",
            "telephone_number": "601-856-8041",
            "fax_number": "866-404-9501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "276 Nissan Pkwy",
            "address_2": "Suite 400, Bldg F",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MS",
            "postal_code": "390467006",
            "country_code": "US",
            "telephone_number": "601-859-3776",
            "fax_number": "601-859-3778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DERRICK",
        "middle_name": "BRICE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-04",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT5718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry W Sivils, MD
• Tyler Slay, LPC
• Sleepworks, Inc.
• Smartsmile Orthodontics, PLLC
• Amerial Smith
• Grace Smith
• Jasmine Martin Smith, PT, DPT
• Keith Letiste Smith, PHARMD
• Philip C Smith, M.D.
• Richard L. Smith, DMD

• Physical Therapist in Madison, MS
• Providers in Madison, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.