Kaylie Vanessa Smith, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT38410 Issued in FL

Practice address

4445 Highway A1A Ste 125
Vero Beach, FL 32963-5443

Phone

(772) 231-3676

Fax

(772) 231-3670

NPI assigned

Mar 1, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back in Form Physical Therapy Inc.Group PAC ID 5496929820, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Back in Form Physical Therapy Inc.

  • Physical Therapist
  • Vero Beach, FL
  • NPI 1518247873
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787443200000",
    "number": "1023764974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 HIGHWAY A1A STE 125",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329635443",
            "telephone_number": "772-231-3676",
            "fax_number": "772-231-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 HIGHWAY A1A STE 125",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329635443",
            "telephone_number": "772-231-3676",
            "fax_number": "772-231-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAYLIE",
        "middle_name": "VANESSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2026-08-23",
        "certification_date": "2026-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradford Peiars Smith, D.M.D., M.S., P.A.
• Denise Smith
• Heidi Smith, APRN
• Jacqueline Gajewski Smith, APRN
• Jill Smith, L.M.T.
• Kimberly L Smith
• Kris Edward Smith, O.D.
• Lori Smith, PHARMD
• Mariah Smith
• Michele Diane Smith, M.A. LMHC

• Physical Therapist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.