MRS. ASHLEY SMITH (MPT) – Physical Therapist, NPI 1104157379

MRS. ASHLEY SMITH (MPT) is a healthcare provider. based in Fort wayne, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT. They hold a License No. 05010178A (IN). The NPI Number for MRS. ASHLEY SMITH (MPT) is 1104157379

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ASHLEY SMITH (MPT)
NPI
1104157379
Phone
(260) 744-5585
Address
12844 COLDWATER RD
Enumeration Date
27 January 2010
Last Update Date
2 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2604977191201
Graduation Year
2009 (17 years ago)
PAC ID
3577699883
Group Practice PAC ID
3476516071
Professional Enrollment ID
I20100325000847
Address ID
IN468072010FO3805XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,865 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

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Provider Addresses for MRS. ASHLEY SMITH (MPT)

  • 12844, Coldwater Road, Fort Wayne, Allen County, Indiana, 46845, United States

    STE B

    FORT WAYNE, IN 468458833

    Phone: (260) 744-5585

    Fax: (260) 744-5586

    Type: Mailing

  • 5800, Fairfield Avenue, Lincolnshire, Hillcrest, Fort Wayne, Allen County, Indiana, 46807, United States

    SUITE 150

    FORT WAYNE, IN 468073400

    Phone: (260) 744-5585

    Fax: (260) 744-5586

    Type: Location

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: 2010-03-25

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
I20100325000847IPhysical Therapist In Private PracticeINTBD

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 minutes1,358138$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,108131$0
97140Therapy procedure using manual technique, each 15 minutes49986$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care43371$0
97530Therapy procedure using functional activities39180$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

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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: 3476516071View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. ASHLEY SMITH (MPT)?
NPI 1104157379 is assigned to MRS. ASHLEY SMITH (MPT) under the national enumeration system.
Does this profile mean MRS. ASHLEY SMITH (MPT) is currently active?
Yes — MRS. ASHLEY SMITH (MPT) appears active in the national provider directory.
Does MRS. ASHLEY SMITH (MPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for MRS. ASHLEY SMITH (MPT). Clinical services aligned with this taxonomy classification.
Where is MRS. ASHLEY SMITH (MPT)'s primary listing?
We display Fort Wayne, Indiana because that is what the record indicates for MRS. ASHLEY SMITH (MPT).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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