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

Jazmyn Smith

Individual provider Sports Physical Therapist · NPI 1205512506

Jazmyn Smith is a Physical Therapist in Private Practice in Bordentown, New Jersey. Qualified in 2023, 3 years ago. Practices with Ivyrehab Network Inc, a 653-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2023

Practice location Address checks out

217 US Highway 130
Bordentown, NJ 08505-2224
Phone: (609) 400-1630
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physical Therapist (primary) Taxonomy 2251S0007X · Licence 40QA02179500 (NJ)

Record details

NPI number1205512506
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 22, 2023
Last updated in NPPESMarch 7, 2026
Certification dateMarch 7, 2026
Mailing address217 Us Highway 130 Fl 1, Bordentown, NJ 08505-2224

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ivyrehab Network Inc — 653 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare