MR. DOMINIC R. SMITH (PT) – Orthopedic Physical Therapist, NPI 1174787683

MR. DOMINIC R. SMITH (PT) is a healthcare provider. based in Van nuys, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT34501 (CA). The NPI Number for MR. DOMINIC R. SMITH (PT) is 1174787683

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
MR. DOMINIC R. SMITH (PT)
NPI
1174787683
Phone
(818) 901-6600
Address
6815 NOBLE AVE
Enumeration Date
14 July 2008
Last Update Date
2 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3104438999
Graduation Year
2003 (23 years ago)
PAC ID
8628130648
Group Practice PAC ID
0547490534
Professional Enrollment ID
I20081229000137
Address ID
CA900247000LO100XXPLZX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

9,522 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for MR. DOMINIC R. SMITH (PT)

  • 6815, Noble Avenue, Van Nuys, Los Angeles, Los Angeles County, California, 91405, United States

    VAN NUYS, CA 914053796

    Phone: (818) 901-6600

    Fax: (818) 997-7826

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-29

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081229000137IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes714108$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes47079$0
97140Therapy procedure using manual technique, each 15 minutes28045$0
97113Therapy procedure using water pool to exercises, each 15 minutes15518$0
97530Therapy procedure using functional activities15145$0
View full utilization report →

Insurance plans in this area (ZIP 91405)

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Provider's Procedures

MR. DOMINIC R. SMITH (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes137197

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547490534View full group profile
NameSpecialtyState
Orthopedic SurgeryNJ
Orthopedic SurgeryCA
Pain Management, AnesthesiologyCA
Orthopedic SurgeryCA
-CA
Physical Therapist In Private PracticeCA
Physician AssistantCA
Hand SurgeryCA
Nurse PractitionerCA
Orthopedic SurgeryCA

Reviews

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Frequently asked questions

What is the standard ID for MR. DOMINIC R. SMITH (PT) in the U.S.?
In the U.S., MR. DOMINIC R. SMITH (PT) is identified by NPI 1174787683.
Quick check: is MR. DOMINIC R. SMITH (PT) active?
Public NPPES data shows MR. DOMINIC R. SMITH (PT) with an active NPI status right now.
What services align with MR. DOMINIC R. SMITH (PT)'s listing?
MR. DOMINIC R. SMITH (PT)'s public classification highlights Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to MR. DOMINIC R. SMITH (PT)?
The directory associates MR. DOMINIC R. SMITH (PT) with Van Nuys, California. Check all listed addresses for suites or satellite offices.
Who maintains MR. DOMINIC R. SMITH (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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