CARLEY JORDAN SMITH – Physical Therapist, NPI 1548001787

CARLEY JORDAN SMITH is a healthcare provider. based in Chesapeake, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 2305216404 (VA). The NPI Number for CARLEY JORDAN SMITH is 1548001787

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
CARLEY JORDAN SMITH
NPI
1548001787
Phone
(757) 559-3690
Address
429 WOODARDS FORD RD
Enumeration Date
3 June 2024
Last Update Date
3 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5086933800
Graduation Year
2024 (2 years ago)
PAC ID
3274077011
Group Practice PAC ID
2860435005
Professional Enrollment ID
I20240703001104
Address ID
MA025396932ED238XXRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for CARLEY JORDAN SMITH

  • 429 WOODARDS FORD RD

    CHESAPEAKE, VA 233224308

    Phone: (757) 559-3690

    Type: Mailing

  • 489 STATE RD

    WEST TISBURY, MA 025755497

    Phone: (508) 693-3800

    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: 2024-07-03

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
I20240703001104IPhysical Therapist In Private PracticeMATBD

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 23322)

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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: 2860435005View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
C H I R O P R A C T I CTX
-PA
Physical Therapist In Private PracticeKS
Occupational Therapist In Private PracticeMA
Occupational Therapist In Private PracticeMA

Reviews

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Frequently asked questions

What federal number belongs to CARLEY JORDAN SMITH?
The federal identifier for CARLEY JORDAN SMITH is NPI 1548001787.
Is CARLEY JORDAN SMITH's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize CARLEY JORDAN SMITH's specialty in plain language?
Clinically, the directory lists CARLEY JORDAN SMITH with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is CARLEY JORDAN SMITH's primary listing?
We display Chesapeake, Virginia because that is what the record indicates for CARLEY JORDAN SMITH.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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