RANDY SMITH (DPT) – Physical Therapist, NPI 1417268111
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
678 PHYSICAL THERAPIST IN PRIVATE PRACTICE in DE
Provider Addresses for RANDY SMITH (DPT)
1200 CORPORATE DR STE 400
HOOVER, AL 352425424
Phone: (423) 238-7217
Type: Mailing
5360 SUMMIT BRIDGE RD STE 6
MIDDLETOWN, DE 197094806
Phone: (302) 342-8451
Type: Location
790 REMINGTON BLVD
BOLINGBROOK, IL 604404909
Phone:
Type: Mailing
1288 S GOVERNORS AVE
DOVER, DE 199044802
Phone: (302) 793-0432
Type: Location
1288 S Governors Ave
Dover, DE 199044802
Phone: (302) 793-0432
Type: Location
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: 2011-03-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110324000501 | I | Physical Therapist In Private Practice | DE | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35242)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | DE | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 157 | 80 |
| PHYSICAL THERAPY | DE | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 67 | 56 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | PA | |
| Physical Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | NJ | |
| Physical Therapist In Private Practice | CT | |
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | AL | |
| Physical Therapist In Private Practice | AL | |
| Physical Therapist In Private Practice | AL | |
| Physical Therapist In Private Practice | MD | |
| Physical Therapist In Private Practice | AL |
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