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

Jackie L Smith, PT, DPT

Individual provider Physical Therapist · NPI 1710345780

Jackie L Smith, PT, DPT is a Physical Therapist in Private Practice in Fulton, Mississippi. Qualified in 2008, 18 years ago. Practices with Drayer Physical Therapy Mississippi LLC, a 111-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
18
Licensed in
MS
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1110 S Adams St
Fulton, MS 38843-8952
Phone: (662) 862-4104
Fax: (662) 862-4162
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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 PT4406 (MS)

Record details

NPI number1710345780
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedFebruary 5, 2016
Last updated in NPPESMarch 13, 2017
Mailing address2416 Highway 45 N, Columbus, MS 39705-1320

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Drayer Physical Therapy Mississippi Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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