KEVIN SMITH
NPI 1295166411
Physical Therapist - Orthopedic in Watertown, NY

Q: What is Kevin Smith's NPI number?

The NPI number for Kevin Smith is 1295166411. It was assigned to this individual provider in the NPPES registry on December 13, 2013.

Q: What is Kevin Smith's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Smith was last updated on March 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 13, 2013Accepts Medicare Assignment

19472 US ROUTE 11, WATERTOWN, NY 13601(315) 782-3941(315) 782-8967 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2019, Jan 26, 2017 (2 updates tracked since 2017).

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About Kevin Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN SMITH (NPI 1295166411) is an individual orthopedic provider in Watertown, New York, licensed in New York (037040-1) and active in the NPI registry since December 2013. He maintains a secondary practice location in Herkimer and is a graduate of Other (2013).

NPPES Registry Identity

NPI1295166411

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameKEVIN SMITH

Location Address19472 US ROUTE 11Watertown, NY 13601-5387

Mailing Address3061 State Route 28Herkimer, NY 13350-1041 · (315) 717-0020 · Fax (315) 717-0024

Phone(315) 782-3941

Fax(315) 782-8967

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateDecember 13, 2013

Last NPPES UpdateMarch 6, 20192 updates tracked since enumeration

✔ NPI 1295166411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in NY · 037040-1

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

19472 US ROUTE 11, Watertown, NY 13601

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Secondary Practice Location 1

Location 13061 State Route 28Herkimer, NY 13350-1041 · Phone (315) 717-0020 · Fax (315) 717-0024

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Smith is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567685035

PECOS Enrollment IDI20140602001487

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

1,091 services72 patients

Evaluation for physical therapy, typically 30 minutes 97162

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

46 services43 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TOMM L MAXON D.C.

Chiropractor

19472 US ROUTE 11, CANI MEDICAL COMPLEX CHIROPRACTIC SUITE
WATERTOWN, NY 13601

Jefferson County (315) 782-0440

JAMES F PEMBERTON P.T.

Specialist