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

Jessie Mizzell, PT/DPT

Individual provider Physical Therapist · NPI 1639924277

Jessie Mizzell, PT/DPT is a Physical Therapist in Private Practice in Orangeburg, South Carolina. Qualified in 2022, 4 years ago. Practices with Works Physical Therapy LLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
4
Licensed in
SC
In the registry since
2024
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Practice location Address checks out

119 Ofc Park DR
Orangeburg, SC 29118-2407
Phone: (803) 937-5605
Fax: (803) 937-6256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3374 Railroad Ave, Bamberg, SC 29003-8248 — (803) 245-0808

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12212 (SC)

Record details

NPI number1639924277
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT/DPT
Sole proprietorNo
NPI enumeratedApril 18, 2024
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024

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 Works Physical Therapy Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Orangeburg