Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carley Jordan Smith

Individual provider Physical Therapist · NPI 1548001787

Carley Jordan Smith is a Physical Therapist in Private Practice in West Tisbury, Massachusetts. Qualified in 2024, 2 years ago. Practices with Vineyard Complementary Medicine Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2024

Practice location Address checks out

489 State Rd
West Tisbury, MA 02575-5497
Phone: (508) 693-3800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305216404 (VA)

Record details

NPI number1548001787
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 3, 2024
Last updated in NPPESJune 3, 2024
Certification dateMay 24, 2024
Mailing address429 Woodards Ford Rd, Chesapeake, VA 23322-4308

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Vineyard Complementary Medicine Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Tisbury