MRS. MARY DOYLE SMITH (PT) – Orthopedic Physical Therapist, NPI 1417936618

MRS. MARY DOYLE SMITH (PT) is a healthcare provider. based in Alpharetta, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 004019 (GA). The NPI Number for MRS. MARY DOYLE SMITH (PT) is 1417936618

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARY DOYLE SMITH (PT)
NPI
1417936618
Phone
(404) 379-6191
Address
902 HAWKHORN CT
Enumeration Date
16 January 2006
Last Update Date
26 June 2025

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7709924001
Graduation Year
1993 (33 years ago)
PAC ID
7315182532
Group Practice PAC ID
0446490411
Professional Enrollment ID
I20130318000212
Address ID
GA300763872RO11660HWYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for MRS. MARY DOYLE SMITH (PT)

  • 902 HAWKHORN CT

    ALPHARETTA, GA 300054358

    Phone: (404) 379-6191

    Fax: (770) 792-7508

    Type: Mailing

  • 11660 ALPHARETTA HWY STE 115

    ROSWELL, GA 300763872

    Phone: (770) 992-4001

    Fax: (770) 992-4095

    Type: Mailing

  • 1095, Old Roswell Road, Manchester at Mansell, Alpharetta, Fulton County, Georgia, 30076, United States

    SUITE A

    ROSWELL, GA 300762280

    Phone: (770) 792-7522

    Fax: (770) 792-7508

    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: 2013-03-18

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
I20130318000212IPhysical 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
97140Therapy procedure using manual technique, each 15 minutes75842$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes47043$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes41841$0
97530Therapy procedure using functional activities6323$0
97161Evaluation for physical therapy, typically 20 minutes2724$0
View full utilization report →

Insurance plans in this area (ZIP 30005)

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Provider's Procedures

MRS. MARY DOYLE 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 THERAPYGA97001Physical therapy evaluation2422

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: 0446490411View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
-GA
Physical Therapist In Private PracticeTN

Reviews

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Frequently asked questions

How do I look up MRS. MARY DOYLE SMITH (PT) by NPI?
Use NPI 1417936618 when you need to reference MRS. MARY DOYLE SMITH (PT) in forms, claims, or directories.
Is MRS. MARY DOYLE SMITH (PT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MRS. MARY DOYLE SMITH (PT) work in?
You can think of MRS. MARY DOYLE SMITH (PT) as practicing within Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
Does MRS. MARY DOYLE SMITH (PT) practice in Georgia?
You will see Alpharetta, Georgia on file for MRS. MARY DOYLE SMITH (PT) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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