Jared Glen Smiddy, PT, MPT
NPI 1700062015ActiveIndividual· Physical Therapist· Pleasant Hill, MO
Physical Therapist (PT, MPT) in Pleasant Hill, Missouri, licensed in MO, KS and CO, with an NPI issued in January 2008.
Overview
| NPI | 1700062015 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, MPT |
| Sole proprietor | No |
| NPI issued | Jan 16, 2008 |
| Last updated in NPPES | Sep 10, 2021 |
| Certified by provider | Sep 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | CP004494T | MO |
| Physical Therapist | 225100000X | 11-06384 | KS |
| Physical Therapist | 225100000X | 10971 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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