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

Haley Smith

Individual provider Physical Therapist · NPI 1700617552

Haley Smith is a Physical Therapist in Private Practice in London, Kentucky. Qualified in 2024, 2 years ago. Practices with Revolution Physical Therapy Corbin, a 4-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2024
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Practice location Address checks out

195 Commercial Dr Ste 100
London, KY 40744-5234
Phone: (606) 657-5111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-009162 (KY)

Record details

NPI number1700617552
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 13, 2024
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024
Mailing address195 Commercial Dr Ste 100, London, KY 40744-5234

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 Revolution Physical Therapy Corbin — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in London