Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACKSON TRAVIS SMART III, PT, DPT
Active Sole ProprietorDR. JACKSON TRAVIS SMART III, PT, DPT is a Physical Therapy Assistant healthcare provider located in URBANA, Illinois. NPI 1598506420 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · URBANA, IL
Registration Details
- NPI Number
- 1598506420
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 4, 2024 (2.1925390745471 yrs)
- Last Updated
- Jun 4, 2024
- License
-
070028290 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
611 W PARK STURBANA, IL, 618012501Browse IL providers · Browse ZIP 61801
- Phone
- 2173833311
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in URBANA, IL
| Name | Credential | NPI |
|---|---|---|
| LAURA RICE | PT | 1932163094 |
| MS. LALAINE THOPE | P.T. | 1164431821 |
| MR. GERALD DEAN PICA | PT | 1174649628 |
| MS. ERICA S RELIGIOSO | PT | 1639295116 |
| MR. MICHAEL T SLOBODNIK | PT | 1073639597 |
| MS. ELIZABETH S SOLAVA | PT | 1316064298 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.