MR. ANDREW PATRICK SMITH (OTR) – Occupational Therapist, NPI 1174959829

MR. ANDREW PATRICK SMITH (OTR) is a healthcare provider. based in Herrin, Illinois. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. They hold a License No. 056.010267 (IL). The NPI Number for MR. ANDREW PATRICK SMITH (OTR) is 1174959829

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
MR. ANDREW PATRICK SMITH (OTR)
NPI
1174959829
Phone
(618) 942-2171
Address
201 S 14TH ST
Enumeration Date
25 September 2013
Last Update Date
25 September 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6189989894
Graduation Year
2013 (13 years ago)
PAC ID
1254708084
Group Practice PAC ID
4284659657
Professional Enrollment ID
I20221107002803
Address ID
IL629595256MA2907XPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

973 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for MR. ANDREW PATRICK SMITH (OTR)

  • 201 S 14TH ST

    HERRIN, IL 629483631

    Phone: (618) 942-2171

    Type: Location

  • 320 CLINE LANE

    VIENNA, IL 62995

    Phone:

    Type: Mailing

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: 2022-11-07

PECOS data refreshed: 2026-05-27

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
I20221107002803IOccupational Therapist In Private PracticeILTBD

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 minutes22533$0
97530Therapy procedure using functional activities11614$0
97140Therapy procedure using manual technique, each 15 minutes10519$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes4911$0
97166Evaluation for occupational therapy, typically 45 minutes2120$0
View full utilization report →

Insurance plans in this area (ZIP 62948)

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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: 4284659657View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Can I use this page to confirm MR. ANDREW PATRICK SMITH (OTR)'s NPI?
Yes. MR. ANDREW PATRICK SMITH (OTR) is listed with NPI 1174959829 in the public NPI dataset.
Can I rely on MR. ANDREW PATRICK SMITH (OTR) being an active provider?
As of the registry snapshot, MR. ANDREW PATRICK SMITH (OTR) is marked active.
What is MR. ANDREW PATRICK SMITH (OTR)'s specialty?
The listing groups MR. ANDREW PATRICK SMITH (OTR) with Occupational Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for MR. ANDREW PATRICK SMITH (OTR)?
MR. ANDREW PATRICK SMITH (OTR)'s geographic hint is Herrin, Illinois in our summary view.
Is the information about MR. ANDREW PATRICK SMITH (OTR) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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