KEVIN J SMITH (PT) – Physical Therapist, NPI 1023203833

KEVIN J SMITH (PT) is a healthcare provider. based in Newnan, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT009115 (GA). The NPI Number for KEVIN J SMITH (PT) is 1023203833

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN J SMITH (PT)
NPI
1023203833
Phone
(770) 252-5279
Address
1575 HIGHWAY 34 E
Enumeration Date
14 September 2007
Last Update Date
3 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702547850
Graduation Year
2007 (19 years ago)
PAC ID
3577784479
Group Practice PAC ID
0446291140
Professional Enrollment ID
I20141017001301
Address ID
GA302653186NE1755XEXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for KEVIN J SMITH (PT)

  • 1575 HIGHWAY 34 E

    NEWNAN, GA 302652401

    Phone: (770) 252-5279

    Fax: (770) 252-9940

    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: 2014-10-17

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
I20141017001301IPhysical Therapist In Private PracticeGATBD

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 minutes62797$0
97140Therapy procedure using manual technique, each 15 minutes45492$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes14526$0
97161Evaluation for physical therapy, typically 20 minutes4947$0
View full utilization report →

Insurance plans in this area (ZIP 30265)

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Provider's Procedures

KEVIN J SMITH (PT) 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 THERAPYGA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1434157
PHYSICAL THERAPYGA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes1093145

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: 0446291140View full group profile
NameSpecialtyState
Physician AssistantGA
Physician AssistantTN
Physical Therapist In Private PracticeGA
-NY
Orthopedic SurgeryGA
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
-GA
Physician AssistantGA

Reviews

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Frequently asked questions

Does KEVIN J SMITH (PT) have a public NPI I can cite?
Public records show KEVIN J SMITH (PT) under NPI 1023203833.
Is KEVIN J SMITH (PT) currently accepting referrals based on NPI status?
Registry metadata lists KEVIN J SMITH (PT) as active.
Which specialty label fits KEVIN J SMITH (PT)?
NPPES ties KEVIN J SMITH (PT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to KEVIN J SMITH (PT)?
KEVIN J SMITH (PT) shows a connection to Newnan, Georgia in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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