Jackie L. Smith, P.T., D.P.T.
NPI 1710345780ActiveIndividual· Physical Therapist· Fulton, MS
Physical Therapist (P.T., D.P.T.) with Drayer Physical Therapy Mississippi LLC, practicing in Fulton, Mississippi. Medicare paid $108,681 for services to 158 patients in 2024.
Overview
| NPI | 1710345780 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.T., D.P.T. |
| Sole proprietor | No |
| NPI issued | Feb 5, 2016 |
| Last updated in NPPES | Mar 13, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT4406 | MS |
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) | Enrolled Practitioner - Physical Therapist in Private Practice (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 158 |
|---|---|
| Services billed | 6,842 across 15 procedure codes |
| Paid by Medicare | $108,681 |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Drayer Physical Therapy Mississippi LLCCrystal Springs, MS · 107 clinicians
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