Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jayson Phillips Smith, PT

Individual provider Physical Therapist · NPI 1558431338

Dr. Jayson Phillips Smith, PT is a Physical Therapist in Private Practice in Clarksdale, Mississippi. Qualified in 2005, 21 years ago. Practices with Tri-Vista Rehab, Inc, a 26-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
21
Licensed in
MS
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1015 Lee Dr Ste 1 B
Clarksdale, MS 38614-3698
Phone: (662) 624-2466
Fax: (662) 624-4876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT3961 (MS)

Record details

NPI number1558431338
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 8, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2822 Pinnacle Dr, Southaven, MS 38672-6324

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Tri-Vista Rehab, Inc. — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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