JASON M SMITH (P.T.) – Physical Therapist, NPI 1104989748

JASON M SMITH (P.T.) is a healthcare provider. based in Upland, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 32015 (CA). The NPI Number for JASON M SMITH (P.T.) is 1104989748

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
JASON M SMITH (P.T.)
NPI
1104989748
Phone
(909) 985-2337
Address
299 W FOOTHILL BLVD
Enumeration Date
18 December 2006
Last Update Date
24 October 2008

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
9099858686
Graduation Year
2005 (21 years ago)
PAC ID
5890714604
Group Practice PAC ID
9830268432
Professional Enrollment ID
I20051121000951
Address ID
CA917863784UP846XXBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for JASON M SMITH (P.T.)

  • Foothill Boulevard, Upland, San Bernardino County, California, 92335, United States

    SUITE 200

    UPLAND, CA 917863804

    Phone: (909) 985-2337

    Fax: (909) 985-4694

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-11-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051121000951IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,132196$0
97140Therapy procedure using manual technique, each 15 minutes959184$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes944182$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care743150$0
97161Evaluation for physical therapy, typically 20 minutes7167$0
View full utilization report →

Insurance plans in this area (ZIP 91786)

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Provider's Procedures

JASON M SMITH (P.T.) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCA97001Physical therapy evaluation8676
PHYSICAL THERAPYCA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes116583

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830268432View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What unique ID ties claims to JASON M SMITH (P.T.)?
NPI 1104989748 is assigned to JASON M SMITH (P.T.) under the national enumeration system.
Does this profile mean JASON M SMITH (P.T.) is currently active?
Yes — JASON M SMITH (P.T.) appears active in the national provider directory.
What field does JASON M SMITH (P.T.) work in?
You can think of JASON M SMITH (P.T.) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place JASON M SMITH (P.T.)?
The snapshot lists Upland, California for JASON M SMITH (P.T.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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