BRIAN BENJAMIN DEWEY SMOGARD (DPT) – Physical Therapist, NPI 1235023615

BRIAN BENJAMIN DEWEY SMOGARD (DPT) is a healthcare provider. based in Coralville, Iowa. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 129393 (IA). The NPI Number for BRIAN BENJAMIN DEWEY SMOGARD (DPT) is 1235023615

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
BRIAN BENJAMIN DEWEY SMOGARD (DPT)
NPI
1235023615
Phone
(319) 665-2630
Address
3290 RIDGEWAY DR STE 3
Enumeration Date
9 June 2025
Last Update Date
9 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3193632901
Graduation Year
2025 (1 year ago)
PAC ID
6507379179
Group Practice PAC ID
1254226095
Professional Enrollment ID
I20250627002455
Address ID
IA524047205CE3620XSWXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

Provider Addresses for BRIAN BENJAMIN DEWEY SMOGARD (DPT)

  • 3290 RIDGEWAY DR STE 3

    CORALVILLE, IA 522412023

    Phone: (319) 665-2630

    Fax: (319) 665-2631

    Type: Mailing

  • 3620 EDGEWOOD RD SW STE 300

    CEDAR RAPIDS, IA 524047205

    Phone: (319) 363-2901

    Fax: (319) 363-2903

    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: 2025-06-27

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
I20250627002455IPhysical Therapist In Private PracticeIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52241)

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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: 1254226095View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
-IA
-IA
-IA

Reviews

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Frequently asked questions

What is the 10-digit NPI for BRIAN BENJAMIN DEWEY SMOGARD (DPT)?
BRIAN BENJAMIN DEWEY SMOGARD (DPT) — NPI 1235023615 — is the standard way to identify this listing.
Does the file indicate BRIAN BENJAMIN DEWEY SMOGARD (DPT) is practicing under active NPI?
Directory data currently reports BRIAN BENJAMIN DEWEY SMOGARD (DPT) as active.
What is BRIAN BENJAMIN DEWEY SMOGARD (DPT) best known for clinically?
Directory data describes BRIAN BENJAMIN DEWEY SMOGARD (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is BRIAN BENJAMIN DEWEY SMOGARD (DPT) based?
BRIAN BENJAMIN DEWEY SMOGARD (DPT) is tied to Coralville, Iowa in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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