DR. JESSICA SMITH PT, DPT
NPI 1679083851
Physical Therapist in El Segundo, CA

Active since October 02, 2017
111 PENN ST, EL SEGUNDO, CA 90245(310) 426-9570 Get Directions Write a Review

NPPES record last updated: October 2, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jessica Smith Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JESSICA SMITH PT, DPT (NPI 1679083851) is an individual physical therapist in El Segundo, California and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1679083851
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameDR. JESSICA SMITHCredential: PT, DPT
Location Address111 PENN STEl Segundo, CA 90245-3908
Mailing Address1428 Lyndon St Apt 1South Pasadena, CA 91030-3867
Sole ProprietorYes
Enumeration DateOctober 2, 2017
✔ NPI 1679083851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
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:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • 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.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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.
111 PENN ST, El Segundo, CA 90245

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Smith Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jessica Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
3623 CROSSINGS DR STE 282
Prescott, AZ 86305
  • Reassigned Medicare billing, Arizona enrollment
  • 11 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
111 PENN ST
EL SEGUNDO, CA 90245
Physical Therapist
111 PENN ST
EL SEGUNDO, CA 90245
Physical Therapist
111 PENN ST
EL SEGUNDO, CA 90245
Physical Therapist (Orthopedic)
111 PENN ST
EL SEGUNDO, CA 90245
Physical Therapist
111 PENN ST
EL SEGUNDO, CA 90245
Physical Therapist
111 PENN ST
EL SEGUNDO, CA 90245
Physical Therapist
111 PENN ST
EL SEGUNDO, CA 90245
Physical Therapist
111 PENN ST
EL SEGUNDO, CA 90245

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Smith's NPI number?

The NPI number for Jessica Smith is 1679083851. It was assigned to this individual provider in the NPPES registry on October 2, 2017.

Where is Jessica Smith located?

Jessica Smith practices at 111 Penn St, El Segundo, CA 90245. The listed phone number is (310) 426-9570.

What is Jessica Smith's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jessica Smith enrolled in Medicare?

Yes. Jessica Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Smith reassigns Medicare benefits to Rehabsuite Inc (Prescott, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Smith was last updated on October 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.