PHILLIP KEN SMITH (O.T.) – Hand Occupational Therapist, NPI 1689628554

PHILLIP KEN SMITH (O.T.) is a healthcare provider. based in Dubuque, Iowa. specializing in Hand Occupational Therapist. They hold the professional credentials O.T.. They hold a License No. 00252 (IA). The NPI Number for PHILLIP KEN SMITH (O.T.) is 1689628554

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP KEN SMITH (O.T.)
NPI
1689628554
Phone
(563) 584-4100
Address
1500 ASSOCIATES DR
Enumeration Date
22 May 2006
Last Update Date
31 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5635844100
Graduation Year
1983 (43 years ago)
PAC ID
9335185818
Group Practice PAC ID
3870491228
Professional Enrollment ID
I20050706000880
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for PHILLIP KEN SMITH (O.T.)

  • Medical Associates Clinic, 1500, Associates Drive, Dubuque, Dubuque County, Iowa, 52002, United States

    DUBUQUE, IA 520022201

    Phone: (563) 584-4100

    Fax: (563) 584-4110

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 52002)

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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: 3870491228View full group profile
NameSpecialtyState
Physician AssistantIA
-IA
D E R M A T O L O G YWI
Physical Medicine And RehabilitationIA
-IA
Certified Registered Nurse Anesthetist (Crna)IA
Nurse PractitionerIA
-IA
Physician AssistantIA
Physical Therapist In Private PracticeIA

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Frequently asked questions

What identifier follows PHILLIP KEN SMITH (O.T.) across health systems?
The NPI 1689628554 uniquely identifies PHILLIP KEN SMITH (O.T.) in U.S. healthcare data.
Should I treat PHILLIP KEN SMITH (O.T.) as an active provider?
Patients and plans typically see PHILLIP KEN SMITH (O.T.) as active in the national extract.
What services align with PHILLIP KEN SMITH (O.T.)'s listing?
PHILLIP KEN SMITH (O.T.)'s public classification highlights Hand Occupational Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to PHILLIP KEN SMITH (O.T.)?
PHILLIP KEN SMITH (O.T.) shows a connection to Dubuque, Iowa in registry-derived data.
Why is information missing for PHILLIP KEN SMITH (O.T.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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