Active NPI
Kaeleigh Rose Smedley
- Physical Therapy Assistant
- Wyncote, PA
National Provider Identifier
1669367579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TE013366
- Practice address
- 1245 Church Rd
Wyncote, PA 19095-1800 - Phone
- (215) 884-9990
- NPI assigned
- Jun 11, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE013366 | PA | Primary |
Addresses
Primary practice location
1245 Church Rd
Wyncote, PA 19095-1800
Mailing address
512 W Ridge Rd
Elizabethtown, PA 17022-9308
Phone (717) 618-2535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE013366 | PA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1669367579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 W RIDGE RD",
"city": "ELIZABETHTOWN",
"state": "PA",
"postal_code": "170229308",
"telephone_number": "717-618-2535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 CHURCH RD",
"city": "WYNCOTE",
"state": "PA",
"postal_code": "190951800",
"telephone_number": "215-884-9990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMEDLEY",
"first_name": "KAELEIGH",
"middle_name": "ROSE",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-06-11",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE013366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyncote, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.