Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeffrey M Smith, RPA-C

Individual provider Physician Assistant · NPI 1558308122

Jeffrey M Smith, RPA-C is a Physician Assistant in Watertown, New York. Qualified in 2004, 22 years ago. Practices with Select PT, OT and SLP Rehabilitation Ny, PLLC, a 272-clinician group. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

727 Washington St
Watertown, NY 13601-4031
Phone: (315) 785-7009
Fax: (315) 785-7566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10439 (NY)

Record details

NPI number1558308122
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedJune 1, 2006
Last updated in NPPESMay 19, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Select Pt, Ot And Slp Rehabilitation Ny, Pllc — 272 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Other providers in Watertown