MS. JULIANNE KENDRA SMITH (DPT) – Physical Therapist, NPI 1417221722

MS. JULIANNE KENDRA SMITH (DPT) is a healthcare provider. based in Troy, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 5501015849 (MI). The NPI Number for MS. JULIANNE KENDRA SMITH (DPT) is 1417221722

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MS. JULIANNE KENDRA SMITH (DPT)
NPI
1417221722
Phone
(248) 619-1733
Address
1819 E BIG BEAVER RD
Enumeration Date
5 March 2012
Last Update Date
5 March 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6168556588
Graduation Year
2011 (15 years ago)
PAC ID
3678847399
Group Practice PAC ID
0345562187
Professional Enrollment ID
I20170919003636
Address ID
MI495465987GR2500XJXXX601
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for MS. JULIANNE KENDRA SMITH (DPT)

  • 1819 E BIG BEAVER RD

    STE 200

    TROY, MI 480832015

    Phone: (248) 619-1733

    Fax: (248) 619-1744

    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: 2017-09-19

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
I20170919003636IPhysical Therapist In Private PracticeMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48083)

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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: 0345562187View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Does MS. JULIANNE KENDRA SMITH (DPT) have a public NPI I can cite?
Public records show MS. JULIANNE KENDRA SMITH (DPT) under NPI 1417221722.
Quick check: is MS. JULIANNE KENDRA SMITH (DPT) active?
Public NPPES data shows MS. JULIANNE KENDRA SMITH (DPT) with an active NPI status right now.
Which specialty label fits MS. JULIANNE KENDRA SMITH (DPT)?
NPPES ties MS. JULIANNE KENDRA SMITH (DPT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MS. JULIANNE KENDRA SMITH (DPT) tied to Troy, Michigan?
If you are local to Troy, Michigan, MS. JULIANNE KENDRA SMITH (DPT) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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