Active NPI 1710345780 Individual Practitioner Male Practitioner

Dr. Jackie L Smith , PT, DPT

Physical Therapist • Fulton, MS

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Jackie Smith, PT, DPT is a registered Physical Therapist practitioner in Fulton, MS. With approximately 18 years of clinical practice since completing medical education in 2008, Dr. Smith provides healthcare services at the registered practice location at 1110 S ADAMS ST.

Dr. Smith is affiliated with Drayer Physical Therapy Mississippi Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using functional activities, therapy procedure using manual technique, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1110 S Adams St

Fulton, MS 388438952

Telephone 6628624104

Fax 6628624162

Associated Practice Facility / Clinic

🏢 Fulton Rehabilitation Services, Pa Facility NPI 1427130798

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Fulton, MS

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -7.8 yrs vs City Avg

City Avg: 25.8 Yrs

State Avg: 15.2 Yrs

Regional Practice Density

8 Specialists

Practicing in Fulton, MS (1732 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

23.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (18 Years) 18 Yrs

Fulton Specialty Average (25.8 Years) 25.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	3,140	155	$30.74	$19.68
97530 Therapy procedure using functional activities	1,415	139	$38.25	$28.88
97140 Therapy procedure using manual technique, each 15 minutes	550	85	$28.29	$17.73
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	480	77	$12.23	$7.67
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	405	57	$35.67	$23.55
97150 Therapy procedure in a group setting	317	107	$19.27	$11.97
97116 Walking training to 1 or more areas, each 15 minutes	210	35	$30.49	$19.45
97016 Application of blood vessel compression device	187	28	$12.27	$7.70
97162 Evaluation for physical therapy, typically 30 minutes	70	65	$103.99	$90.48
97163 Evaluation for physical therapy, typically 45 minutes	30	28	$103.82	$89.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	3,639	167	$29.03	$20.13
97530 Therapy procedure using functional activities	1,541	149	$37.13	$29.84
97140 Therapy procedure using manual technique, each 15 minutes	706	93	$26.60	$18.24
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	677	90	$13.20	$7.97
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	344	45	$33.02	$24.00
97016 Application of blood vessel compression device	308	37	$11.95	$7.85
97150 Therapy procedure in a group setting	275	103	$17.48	$12.07
97116 Walking training to 1 or more areas, each 15 minutes	196	36	$28.17	$19.87
97162 Evaluation for physical therapy, typically 30 minutes	97	93	$79.97	$78.73
97163 Evaluation for physical therapy, typically 45 minutes	31	31	$79.97	$78.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	577	45	$29.03	$21.31
97530 Therapy procedure using functional activities	323	37	$37.13	$31.26
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	136	21	$33.02	$25.99
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	133	30	$13.20	$8.50
97140 Therapy procedure using manual technique, each 15 minutes	118	25	$26.60	$19.86
97150 Therapy procedure in a group setting	32	18	$17.48	$12.80
97162 Evaluation for physical therapy, typically 30 minutes	19	18	$79.97	$78.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	354	33	$29.16	$22.41
97530 Therapy procedure using functional activities	322	28	$37.13	$31.56
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	141	24	$13.24	$9.31
97140 Therapy procedure using manual technique, each 15 minutes	104	19	$26.78	$20.96
97150 Therapy procedure in a group setting	47	18	$17.61	$13.58
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	39	12	$33.02	$26.77
97162 Evaluation for physical therapy, typically 30 minutes	12	11	$81.27	$81.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	619	51	$29.29	$23.24
97530 Therapy procedure using functional activities	449	39	$37.23	$32.80
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	194	38	$13.37	$9.74
97140 Therapy procedure using manual technique, each 15 minutes	171	33	$26.96	$21.22
97150 Therapy procedure in a group setting	101	33	$17.51	$13.97
97116 Walking training to 1 or more areas, each 15 minutes	46	13	$28.17	$22.70
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	45	15	$33.02	$27.31
97163 Evaluation for physical therapy, typically 45 minutes	19	19	$79.97	$79.70
97162 Evaluation for physical therapy, typically 30 minutes	17	17	$80.89	$79.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,671	168	$29.43	$23.76
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	634	121	$13.68	$9.75
97140 Therapy procedure using manual technique, each 15 minutes	602	127	$27.06	$21.05
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	374	83	$33.61	$31.24
97530 Therapy procedure using functional activities	325	56	$37.27	$33.71
97150 Therapy procedure in a group setting	280	113	$18.06	$13.83
97016 Application of blood vessel compression device	154	34	$12.55	$9.14
97116 Walking training to 1 or more areas, each 15 minutes	111	29	$28.84	$22.35
97162 Evaluation for physical therapy, typically 30 minutes	61	60	$80.28	$78.79
97163 Evaluation for physical therapy, typically 45 minutes	36	36	$80.39	$78.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,560	182	$29.36	$23.45
97140 Therapy procedure using manual technique, each 15 minutes	721	142	$26.97	$21.14
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	678	132	$14.56	$10.08
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	664	146	$33.28	$31.35
97150 Therapy procedure in a group setting	326	120	$18.06	$13.80
97116 Walking training to 1 or more areas, each 15 minutes	214	43	$29.05	$22.72
97530 Therapy procedure using functional activities	185	62	$38.10	$36.51
97016 Application of blood vessel compression device	138	26	$15.50	$10.53
97162 Evaluation for physical therapy, typically 30 minutes	57	54	$78.57	$77.44
97035 Application of ultrasound, each 15 minutes	49	17	$13.41	$10.04
97163 Evaluation for physical therapy, typically 45 minutes	43	42	$78.57	$77.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	2,265	174	$31.51	$24.70
97140 Therapy procedure using manual technique, each 15 minutes	635	127	$29.37	$21.90
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	598	128	$13.86	$9.60
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	504	113	$32.75	$29.71
97116 Walking training to 1 or more areas, each 15 minutes	247	51	$27.67	$20.75
97150 Therapy procedure in a group setting	208	93	$17.50	$13.45
97016 Application of blood vessel compression device	170	32	$18.84	$12.07
97530 Therapy procedure using functional activities	151	58	$33.77	$31.37
97162 Evaluation for physical therapy, typically 30 minutes	57	55	$76.33	$74.73
97035 Application of ultrasound, each 15 minutes	24	13	$13.07	$9.73
97163 Evaluation for physical therapy, typically 45 minutes	21	21	$76.33	$74.73

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License MS PT4406

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Hospital & Practice Group Affiliations

Drayer Physical Therapy Mississippi Llc

1110 S Adams St, Fulton, MS 388438952

Phone: 6628624104

Drayer Physical Therapy Mississippi Llc

117 Bo Bo Dr, Crystal Springs, MS 390592741

Phone: 6018926330

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Claudia Tucker , DPT

Physical Therapist

NPI 1073152344

Doctor of Physical Therapy

Beth Craft , PT

Physical Therapist

NPI 1821294281

Physical Therapist

Christy Flynn , PT

Physical Therapist

NPI 1932543055

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active March 13, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address March 13, 2017

Registered at 2416 HIGHWAY 45 N, COLUMBUS, MS 397051320 (Tel: 6623276705)

📍

Updated Practice Location March 13, 2017

Registered at 1110 S ADAMS ST, FULTON, MS 388438952 (Tel: 6628624104)

👤

Provider Name / Credentials Updated March 13, 2017

Recorded as JACKIE SMITH, P.T., D.P.T.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2017

Physical Therapist (License #PT4406 in MS)

✅

NPI Profile Active February 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 05, 2016

Registered at 1110 S ADAMS ST, FULTON, MS 388438952 (Tel: 6628624104)

📍

Updated Business Mailing Address February 05, 2016

Registered at 1110 S ADAMS ST, FULTON, MS 388438952 (Tel: 6628624104)

👤

Provider Name / Credentials Updated February 05, 2016

Recorded as JACKIE SMITH, P.T., D.P.T.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2016

Physical Therapist (License #PT4406 in MS)

🟢

Initial NPI Registration & Enumeration February 05, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710345780

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 05, 2016

Last Update: March 13, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2416 Highway 45 N

Columbus, MS 397051320

Phone: 6623276705

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.