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

Thomas Glenn Smith, PT, DPT

Individual provider Physical Therapist · NPI 1215155940

Thomas Glenn Smith, PT, DPT is a Physical Therapist in Private Practice in Jesup, Georgia. Qualified in 2014, 12 years ago. Practices with Restore Physical Therapy LLC, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
12
Licensed in
FL, GA
In the registry since
2007
Specialties on file
2
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

430 W Cherry St
Jesup, GA 31545
Phone: (912) 256-4392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19 S Melody Dr, Jesup, GA 31545-8528 — (912) 256-4392

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT013273 (GA)
Contractor Taxonomy 171W00000X · Licence LPTA19978 (FL)

Record details

NPI number1215155940
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedApril 20, 2007
Last updated in NPPESJune 19, 2018
Mailing address19 S Melody Dr, Jesup, GA 31545-8528

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Restore Physical Therapy Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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