Account Bulk check

Alexia Jordan Smith, PTA

Physical Therapy Assistant in Jacksonville, NC. Individual provider (NPI-1).

NPI number1104744960
StatusActive
Last updated in NPPESJul 8, 2026

Details

NPI
1104744960
Entity type
Individual (NPI-1)
Name
Alexia Jordan Smith
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 8, 2026
Certification date
Jul 8, 2026
Last updated
Jul 8, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantCP059619ANCYes
225200000X Physical Therapy Assistant5011SC

Practice location

2145 Country Club Rd Ste 200
Jacksonville, NC 28546-2404

Phone 910-332-3828

Mailing address

655 S Willow St Ste 128
Manchester, NH 03103-5723

Phone 800-995-2673

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Therapy Assistant providers in Jacksonville, NC

All 21 Physical Therapy Assistant providers in Jacksonville · All 2,719 providers in Jacksonville

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check