PETER MAUTHE SMITH PT
NPI 1386116663
Physical Therapist in De Pere, WI
About Peter Mauthe Smith Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETER MAUTHE SMITH PT (NPI 1386116663) is an individual physical therapist in De Pere, Wisconsin, licensed in Wisconsin (16571-24) and active in the NPI registry since December 2018. He is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Peter Mauthe Smith Pt 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.
Medicare Billing Reassignments
2Medicare enrollment records show Peter Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54304
- Reassigned Medicare billing, Wisconsin enrollment
- 742 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 673 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DE PERE, WI 54115
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Peter Smith's NPI number?
The NPI number for Peter Smith is 1386116663. It was assigned to this individual provider in the NPPES registry on December 26, 2018.
Where is Peter Smith located?
Peter Smith practices at 1601 Lawrence Dr Ste 100, De Pere, WI 54115. The listed phone number is (920) 496-4700.
What is Peter Smith's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Peter Smith enrolled in Medicare?
Yes. Peter Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Peter Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Smith reassigns Medicare benefits to 2 organizations: St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI) and St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Peter Smith accept?
Health plans from Anthem Blue Cross and Blue Shield and Security Health Plan list Peter Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Peter Smith was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Peter Mauthe Smith, PT · NPI 1386116663
Physical Therapist provider in De Pere, Wisconsin. Individual provider, active in the CMS NPPES registry since December 26, 2018.
## Identity
- **NPI:** 1386116663 (Entity type: Individual)
- **Enumerated:** December 26, 2018
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 16571-24 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1601 LAWRENCE DR STE 100, De Pere, WI 54115-3931
- **Phone:** (920) 496-4700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (NPI 1285613638, Green Bay, WI); St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (NPI 1275799413, Sheboygan, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 7, 2025
- **Other identifiers:** Medicaid 100297718 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1386116663) · Data from the CMS NPPES public registry.