MRS. SANDRA MORAN SMITH (PT) – Physical Therapist, NPI 1396765350
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. SANDRA MORAN SMITH (PT)
600 W North Blvd Ste D
Leesburg, FL 347485000
Phone: (800) 787-9300
Fax: (352) 787-4522
Type: Location
1870 Aloma Ave Ste 280
Winter Park, FL 32789
Phone: (407) 637-5856
Fax: (321) 972-5485
Type: Location
Aloma Avenue, Winter Park, Orange County, Florida, 32792, United States
WINTER PARK, FL 32789
Phone: (407) 637-5856
Fax: (321) 972-5485
Type: Location
203, Broad Street, Rome, Floyd County, Georgia, 30161, United States
ROME, GA 301613006
Phone: (407) 322-3442
Fax: (352) 787-4522
Type: Mailing
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: 2024-02-22
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 |
|---|---|---|---|---|
| I20240222001171 | I | Physical Therapist In Private Practice | FL | 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 34748)
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