Healthcare Provider Details

I. General information

NPI: 1659281939
Provider Name (Legal Business Name): JESSICA SMITH DPT, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3230 VETERANS MEMORIAL STADIUM DRIVE STE 108
TROY AL
36082-0001
US

IV. Provider business mailing address

203 NARROWS PKWY STE D
BIRMINGHAM AL
35242-8649
US

V. Phone/Fax

Practice location:
  • Phone: 334-403-6268
  • Fax: 334-403-6269
Mailing address:
  • Phone: 334-403-6268
  • Fax: 334-403-6269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTH12808
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: