Carley Jordan Smith
NPI 1548001787ActiveIndividual· Physical Therapist· West Tisbury, MA
Physical Therapist with Vineyard Complementary Medicine Inc, practicing in West Tisbury, Massachusetts. Medicare paid $47,826 for services to 78 patients in 2024.
Overview
| NPI | 1548001787 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 3, 2024 |
| Last updated in NPPES | Jun 3, 2024 |
| Certified by provider | May 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2305216404 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 78 |
|---|---|
| Services billed | 2,055 across 14 procedure codes |
| Paid by Medicare | $47,826 |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Vineyard Complementary Medicine IncEdgartown, MA · 8 clinicians
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