EMMA KATE STOLLER SMITH
NPI 1639988504
Physical Therapist - Orthopedic in Washington, IL
About Emma Kate Stoller Smith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMMA KATE STOLLER SMITH (NPI 1639988504) is an individual orthopedic provider in Washington, Illinois and active in the NPI registry since January 2025. She is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Emma Kate Stoller 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.
Medicare Billing Reassignment
Medicare enrollment records show Emma Kate Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clinton, IL 61727
- Reassigned Medicare billing, Illinois enrollment
- 134 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Emma Kate Smith's NPI number?
The NPI number for Emma Kate Smith is 1639988504. It was assigned to this individual provider in the NPPES registry on January 4, 2025.
Where is Emma Kate Smith located?
Emma Kate Smith practices at 62 Cherry Tree Shopping Ctr, Washington, IL 61571. The listed phone number is (309) 481-3081.
What is Emma Kate Smith's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Emma Kate Smith enrolled in Medicare?
Yes. Emma Kate 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 organization bills Medicare for Emma Kate Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emma Kate Smith reassigns Medicare benefits to Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path (Clinton, IL). The 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 Emma Kate Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Emma Kate Smith was last updated on January 4, 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.
# Emma Kate Stoller Smith · NPI 1639988504
Orthopedic provider in Washington, Illinois. Individual provider, active in the CMS NPPES registry since January 4, 2025.
## Identity
- **NPI:** 1639988504 (Entity type: Individual)
- **Enumerated:** January 4, 2025
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 62 CHERRY TREE SHOPPING CTR, Washington, IL 61571-2170
- **Phone:** (309) 481-3081
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path (NPI 1376917187, Clinton, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639988504) · Data from the CMS NPPES public registry.