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

Jackson Smith, DPT

Individual provider Physical Therapist · NPI 1700583374

Jackson Smith, DPT is a Physical Therapist in Private Practice in Southfield, Michigan. Qualified in 2022, 4 years ago. Practices with Krs of Clawson LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2023
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

29121 Northwestern Hwy Ste A
Southfield, MI 48034-5705
Phone: (248) 599-1166
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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 5501302079 (MI)

Record details

NPI number1700583374
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 14, 2023
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Krs Of Clawson Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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