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

Kelly Smith, PT

Individual provider Physical Therapist · NPI 1710288840

Kelly Smith, PT is a Physical Therapist in Private Practice in Centreville, Virginia. Graduated from Marymount University in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
16
Trained at
Marymount University
Licensed in
VA
In the registry since
2010
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

14631 Lee Hwy Ste 310
Centreville, VA 20121-5824
Phone: (703) 222-5903
Fax: (703) 222-3765
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305206672 (VA)

Record details

NPI number1710288840
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 5, 2010
Last updated in NPPESDecember 29, 2016
Mailing address14631 Lee Highway, Suite 310, Centreville, VA 20121

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolMARYMOUNT UNIVERSITY
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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